Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY GOODWIN, COTA/L
Active Sole ProprietorSTACEY GOODWIN, COTA/L is a Occupational Therapy Assistant healthcare provider located in DAISYTOWN, Pennsylvania. NPI 1770827248 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DAISYTOWN, PA
Registration Details
- NPI Number
- 1770827248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2012 (13.735177173762 yrs)
- Last Updated
- Nov 21, 2012
- License
-
OC003092L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3019 NATIONAL PIKEDAISYTOWN, PA, 154271007Browse PA providers · Browse ZIP 15427
- Phone
- 7246323307
- 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.