Individual
JAMIE GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6901 N GALENA RD, PEORIA, IL 61614-3193
(309) 692-4600
Mailing address
6901 N GALENA RD, PEORIA, IL 61614-3193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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