Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell Bryant Goodman

Individual provider Occupational Therapy Assistant · NPI 1922864578

Russell Bryant Goodman is an Occupational Therapy Assistant in Milford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
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Practice location Address checks out

1452 Edgewood Ln
Milford, MI 48381-1226
Phone: (248) 787-4570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202008280 (MI)

Record details

NPI number1922864578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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