Individual
GWENDOLYN D GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
606 DEERFIELD DR, NEW BERN, NC 28562-8930
(252) 229-0891
Mailing address
606 DEERFIELD DR, NEW BERN, NC 28562-8930
(252) 229-0891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10516
NC
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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