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Stacey Goodman, COTA
NPI 1568639490 · on the registry since 2008 · sole proprietor
Practice
- Address
- 926 E Wayne St
South Bend, IN 46617 - Phone
- (574) 233-8812
- Fax
- (574) 233-8873
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-09
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 Indiana