Ketasha Goodwin
NPI #1942847769 in Weber City, Virginia
Provider Information
- NPI Number
- 1942847769
- Entity Type
- Individual
- Name
- Ketasha Goodwin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 1, 2019
- Last Updated
- Dec 1, 2019
Practice Location
- Address
- 377 CLONCE ST
- City
- Weber City
- State
- Virginia
- ZIP Code
- 24290-7269
- Phone
- (276) 477-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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