STACIE MARIE GOODWIN

SENECA, SC
NPI1427755784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: SC  5551)
Enumeration Date2023-02-07
Last Update Date2023-02-07
Business Address
STACIE MARIE GOODWIN OTR/L
1460 CONEROSS POINT DR
SENECA, SC 29678-5908
Phone number: 208-989-9487
Mailing Address
STACIE MARIE GOODWIN OTR/L
1460 CONEROSS POINT DR
SENECA, SC 29678-5908
Phone number: 208-989-9487