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

RUSSELL BRYANT GOODMAN

Active Sole Proprietor

RUSSELL BRYANT GOODMAN is a Occupational Therapy Assistant healthcare provider located in MILFORD, Michigan. NPI 1922864578 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MILFORD, MI

Registration Details

NPI Number
1922864578
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2024 (2.4728438172709 yrs)
Last Updated
Feb 22, 2024
License
5202008280 (MI)
Sole Proprietor
Yes

Practice Information

Address
1452 EDGEWOOD LN
MILFORD, MI, 483811226
Browse MI providers · Browse ZIP 48381
Phone
2487874570
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MILFORD, MI

Name Credential NPI
MRS. BETHANY DIANE HAMPTON-GREEN COTA 1639420284
MARIA ORTIZ 1093155830
KELLEY-BETH TRACY COTA/L 1346017266
SHAYLA R LUCAS 1467288167
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.