Mrs. Stacey P Goodman, COTA
Mrs. Stacey P Goodman, COTA is a Specialist in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2008
What do these letters mean?
- COTA — Certified Occupational Therapy Assistant
- Delivers treatment under an occupational therapist's direction.
Practice location Address checks out
926 E Wayne StSouth Bend, IN 46617-3000
Phone: (574) 233-8812
Fax: (574) 233-8873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 32000767A (IN) |
|---|
Record details
| NPI number | 1568639490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTA |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | May 9, 2008 |
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