Individual
MELISSA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
Mailing address
407 CHESTNUT AVE, TOWSON, MD 21204-3703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06632
MD
Other
Enumeration date
06/22/2011
Last updated
12/14/2016
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