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

MIA GOODLY

Active Sole Proprietor

MIA GOODLY is a Occupational Therapy Assistant healthcare provider located in PORT ORANGE, Florida. NPI 1639623499 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PORT ORANGE, FL

Registration Details

NPI Number
1639623499
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2016 (10.013933225295 yrs)
Last Updated
Aug 10, 2016
License
057004116 (IL)
Sole Proprietor
Yes

Practice Information

Address
5535 S WILLIAMSON BLVD
SUITE 774
PORT ORANGE, FL, 321288311
Browse FL providers · Browse ZIP 32128
Phone
8882652680
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PORT ORANGE, FL

Name Credential NPI
JOANNE PLUMB RIEGER COTA 1477670859
MARGARET J. BOWS COTA 1154529311
LINDA SCHAFFER 1447548201
BONNIE JO MEERDINK 1457630444
JOAN WALCH 1417233354
DEBRA L MASTOWSKI 1629340898
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.