Individual
DONNA GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
2917 INDEPENDENCE ST, SUITE 400, CAPE GIRARDEAU, MO 63703-5044
(314) 821-8055
Mailing address
2917 INDEPENDENCE ST, SUITE 400, CAPE GIRARDEAU, MO 63703-5044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000355
MO
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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