Individual
DONNAL BLAKE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19091795
DRIVES LICENSE
TX
01
—
209855
TBOTE CERTIFICATION
TX
01
—
221830
NBCOT LICENSE
TX
Enumeration date
12/17/2018
Last updated
06/06/2025
Update your record
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