Individual
JALISSA GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
734 JARESH RD, PILOT POINT, TX 76258-3236
(903) 271-6315
Mailing address
734 JARESH RD, PILOT POINT, TX 76258-3236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114593
TX
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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