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Nicole Goodson, OTR/L
NPI 1164865226 · on the registry since 2013
Practice
- Address
- 11960 Westline Industrial Dr
Saint Louis, MO 63146 - Phone
- (866) 433-9555
- Fax
- (314) 275-7444
- Organisation at this address
- Supplemental Health Care
Supplemental Health Care
Moments Hospice Of St Louis LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 141
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri