Logan Davidson Goodman, COTA

NPI #1568295426 in Twin City, Georgia

Provider Information

NPI Number
1568295426
Entity Type
Individual
Name
Logan Davidson Goodman, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 24, 2024
Last Updated
Aug 24, 2024

Practice Location

Address
211 MATHIS AVE
State
Georgia
ZIP Code
30471-4232
Phone
(478) 763-2141

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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