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Logan Goodman, COTA
NPI 1568295426 · on the registry since 2024 · sole proprietor
Practice
- Address
- 211 Mathis Ave
Twin City, GA 30471 - Phone
- (478) 763-2141
- Organisation at this address
- Twin City Trails Of Journey Llc
National Assistance Bureau Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-24
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 Georgia