Individual
MRS. DARLA KATHLEEN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5472
Mailing address
6142 N 16TH DR, PHOENIX, AZ 85015-2014
(602) 944-7134
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0673
AZ
Other
Enumeration date
01/20/2006
Last updated
12/12/2008
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