Debbra Lynn Goodman OTR

NPI 1689860884 - Occupational Therapist - 225X00000X

NPI Details
NPI 1689860884
Gender Female
Enumeration Date 09/20/2007
Last Updated 09/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1405 MILL ST
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2000
Fax (920) 531-2098
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Taxonomy Code 225X00000X
License State Wisconsin
License Number 377-026
Remove 1689860884 NPI Number

According to our database, Debbra Lynn Goodman OTR NPI is 1689860884, taxonomy code is 225X00000X and license number is 377-026, license state is located at Wisconsin. Debbra Lynn Goodman OTR physically located at 1405 Mill St, New London WI, 54961-2155. NPI Number Debbra Lynn Goodman OTR has the Individual type.

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1689860884 NPI number is provided on an as is basis without warranty of any kind. 1689860884 is maintained by the National Plan & Provider Enumeration System. The contents of Debbra Lynn Goodman OTR are for informational purposes only.