Mrs. Gracelyn J. Goodwin
Occupational Therapy Assistant
2711 Capital Medical Blvd
Tallahassee
, Florida 32308-4497
Mrs. Gracelyn J. Goodwin
Occupational Therapy Assistant
2711 Capital Medical Blvd
Tallahassee
, Florida 32308-4497
(850) 557-8686
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Gracelyn J. Goodwin
- 7820 Highway 90
- Sneads, FL
- Zip : 32460-2232
- Phone : (850) 557-8686
Second Address
- Mrs. Gracelyn J. Goodwin
- 2711 Capital Medical Blvd
- Tallahassee, FL
- Zip : 32308-4497
- Phone : (850) 210-1172
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA17498 | FL |
National Provider Identifier
| NPI | 1003421710 |
|---|---|
| Provider Name | Mrs. Gracelyn J. Goodwin |
| First Address | Sneads, FL 32460-2232 |
| Second Address | Tallahassee, FL 32308-4497 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.