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1013568427
BASHA GOODMAN
LANDOVER, MD
NPI
1013568427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 08721)
Enumeration Date
2019-09-26
Last Update Date
2020-06-11
Business Address
BASHA GOODMAN
1400 NALLEY TER
LANDOVER, MD 20785-4434
Phone number: 301-618-8300
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Mailing Address
BASHA GOODMAN
PO BOX 15013
SILVER SPRING, MD 20914-5013
Phone number:
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