Russell Bryant Goodman

NPI #1922864578 in Milford, Michigan

Provider Information

NPI Number
1922864578
Entity Type
Individual
Name
Russell Bryant Goodman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Feb 22, 2024
Last Updated
Feb 22, 2024

Practice Location

Address
1452 EDGEWOOD LN
ZIP Code
48381-1226
Phone
(248) 787-4570

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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