Individual
MISS HANNAH L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 MEDICAL PARK CIR, UNION CITY, TN 38261-5877
(731) 885-1077
Mailing address
905 FORESTDALE AVE, SOUTH FULTON, TN 38257-2429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2088
TN
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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