Individual
MRS. KIMBERLY GOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2075 N EASTOWN RD, LIMA, OH 45807-2067
(419) 331-2442
Mailing address
116 W SUGAR ST, CRIDERSVILLE, OH 45806-2344
(567) 712-0823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04827
OH
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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