Individual
MRS. TRACEY P GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 VICTORY RD, MARIA BAY, QUINCY, MA 02171-3139
(617) 847-1950
Mailing address
45 SOUTHWORTH CT, STOUGHTON, MA 02072-2249
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7564
MA
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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