Individual
ANNA J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1923 SIERRA CIR S, LARGO, FL 33770-2140
(727) 585-0727
Mailing address
1923 SIERRA CIR S, LARGO, FL 33770-2140
(727) 585-0727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3157
FL
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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