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1245846286
BETHANY GOODRUM
MONTGOMERY, AL
NPI
1245846286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 5123)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
Mrs. BETHANY GOODRUM COTA/L
2185 NORMANDIE DR
MONTGOMERY, AL 36111-2728
Phone number: 334-288-0240
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Mailing Address
Mrs. BETHANY GOODRUM COTA/L
2185 NORMANDIE DR
MONTGOMERY, AL 36111-2728
Phone number: 334-288-0240
Copy
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