Miranda Goodson

NPI #1083068431 in Hyattsville, Maryland

Provider Information

NPI Number: 1083068431
Entity Type: Individual
Name: Miranda Goodson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 21, 2016
Last Updated: Apr 21, 2016

Practice Location

Address: 3700 KENNEDY ST
City: Hyattsville
State: Maryland
ZIP Code: 20782-3838
Phone: (917) 742-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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