Individual
BRIDGET SHAYANN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1567
(214) 285-3200
Mailing address
2001 HOLLEY PKWY APT 413, ROANOKE, TX 76262-4451
(806) 240-0975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212767
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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