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

SHELLIE LANE GOODMAN, COTA

Active

SHELLIE LANE GOODMAN, COTA is a Occupational Therapy Assistant healthcare provider located in CHAPPELL HILL, Texas. NPI 1417170200 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CHAPPELL HILL, TX

Registration Details

NPI Number
1417170200
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.391231554878 yrs)
Last Updated
Jul 8, 2007
License
208989 (TX)

Practice Information

Address
5355 CHADWICK HOGAN RD
CHAPPELL HILL, TX, 774265327
Browse TX providers · Browse ZIP 77426
Phone
8325666204
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.