Carla Leslie-Gooden

NPI #1578924429 in Fayetteville, Georgia

Provider Information

NPI Number: 1578924429
Entity Type: Individual
Name: Carla Leslie-Gooden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Driving and Community Mobility
Enumeration Date: Mar 18, 2016
Last Updated: Sep 9, 2020

Practice Location

Address: 170 BASTILLE WAY STE A
City: Fayetteville
State: Georgia
ZIP Code: 30214-7652
Phone: (678) 870-4467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Driving and Community Mobility — Driving and Community Mobility	225XR0403X	Primary

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