TARA GOODWIN

COEUR D ALENE, ID
NPI1215134580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-192)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
TARA GOODWIN
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
Mailing Address
TARA GOODWIN
7384 N BARBIE ST
COEUR D ALENE, ID 83815-9715
Phone number:
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