MRS. Kelly Lee Goodman, OTR

NPI #1528272531 in Kiel, Wisconsin

Provider Information

NPI Number: 1528272531
Entity Type: Individual
Name: MRS. Kelly Lee Goodman, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 9, 2007
Last Updated: Mar 17, 2015

Practice Location

Address: 21211 STATE ROAD 57
City: Kiel
State: Wisconsin
ZIP Code: 53042-2145
Phone: (920) 740-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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