Stacey Goodwin, COTA/L
NPI #1770827248 in Daisytown, Pennsylvania
Provider Information
- NPI Number
- 1770827248
- Entity Type
- Individual
- Name
- Stacey Goodwin, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Nov 21, 2012
- Last Updated
- Nov 21, 2012
Practice Location
- Address
- 3019 NATIONAL PIKE
- City
- Daisytown
- State
- Pennsylvania
- ZIP Code
- 15427-1007
- Phone
- (724) 632-3307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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