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Kristin Marie Goodwin

Occupational Therapist in Scottsdale, AZ. Individual provider (NPI-1).

NPI number1669946935
StatusActive
Last updated in NPPESApr 28, 2021

Details

NPI
1669946935
Entity type
Individual (NPI-1)
Name
Kristin Marie Goodwin
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2019
Certification date
Apr 28, 2021
Last updated
Apr 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist7122AZYes

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

Mailing address

7050 Old Millstone Dr
Mechanicsville, VA 23111-4278

Phone 804-763-9684

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