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Destiny Goodman, COTA/L

Occupational Therapy Assistant in Simpsonville, SC. Individual provider (NPI-1).

NPI number1144934019
StatusActive
Last updated in NPPESJan 5, 2023

Details

NPI
1144934019
Entity type
Individual (NPI-1)
Name
Destiny Goodman
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2023
Certification date
Jan 5, 2023
Last updated
Jan 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant5481SCYes

Practice location

41 Golden Acre Ct
Simpsonville, SC 29681-3264

Phone 864-688-9973

Mailing address

41 Golden Acre Ct
Simpsonville, SC 29681-3264

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