Individual
TARA GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
Mailing address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00000427
WA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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