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

CRYSTAL WALLACE GODDIN, PTA

Active

CRYSTAL WALLACE GODDIN, PTA is a Occupational Therapist healthcare provider located in BUSHNELL, Florida. NPI 1619465481 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BUSHNELL, FL

Registration Details

NPI Number
1619465481
Provider Type
Individual
Gender
Female
NPI Issued
Apr 27, 2018 (8.2572854484757 yrs)
Last Updated
Apr 27, 2018
License
23675 (FL)

Practice Information

Address
1104 N MAIN ST, BUSHNELL, FL
BUSHNELL, FL, 33513
Browse FL providers · Browse ZIP 33513
Phone
3525688777
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BUSHNELL, FL

Name Credential NPI
CARY MATTOS 1750755575
DENISE ZACHARY 1164896973
MRS. SHERI F MORGAN PTA 1831687862
RAIHNA MAKLAY NEWCOMB PTA 1699483446
SHELLY RENE GILBERT PTA 1043199433
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.