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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA GOODWIN

Active

TARA GOODWIN is a Occupational Therapy Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1215134580 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · COEUR D ALENE, ID

Registration Details

NPI Number
1215134580
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2007 (19.083688054464 yrs)
Last Updated
Jul 8, 2007
License
OTA-192 (ID)

Practice Information

Address
210 W LACROSSE AVE
COEUR D ALENE, ID, 838142403
Browse ID providers · Browse ZIP 83814
Phone
2086642185
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in COEUR D ALENE, ID

Name Credential NPI
SHAWNA ROSSBERG COTA 1093913956
MS. CYNTHIA ANN JAMES COTA 1144429150
GAYLE JOLEEN FOTHERGILL COTA/L 1184882680
MR. MATTHEW CHRISTOPHER BORTON COTA 1215361985
GARY ROSSBERG COTA/L 1841628112
JEAN VERGILIO 1033547286
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.