Individual
MR. JOHN ROBERT GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
17 PARK ST, WHITEFIELD, NH 03598-3110
(603) 837-2840
Mailing address
17 PARK ST, WHITEFIELD, NH 03598-3110
(603) 837-2840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
068
NH
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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