Myka Goodrum
Occupational Therapist - Pediatrics
1101 Keller Pkwy
Keller
, Texas 76248-3614
Myka Goodrum
Occupational Therapist - Pediatrics
1101 Keller Pkwy
Keller
, Texas 76248-3614
(817) 562-3114
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Myka Goodrum
- 1101 Keller Pkwy
- Keller, TX
- Zip : 76248-3614
- Fax : (817) 562-3114
- Phone : (817) 562-3111
Second Address
- Myka Goodrum
- 1101 Keller Pkwy
- Keller, TX
- Zip : 76248-3614
- Fax : (817) 562-3114
- Phone : (817) 562-3111
Reviews
FAQs
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What type of doctor is Myka Goodrum
In what state does Myka Goodrum practice in?
Where is Myka Goodrum ’s practice located?
What is Myka Goodrum ’s gender?
Is Myka Goodrum a sole practitioner?
Is Myka Goodrum accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 119534 | TX |
National Provider Identifier
| NPI | 1013485093 |
|---|---|
| Provider Name | Myka Goodrum |
| First Address | Keller, TX 76248-3614 |
| Second Address | Keller, TX 76248-3614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2018 |
| Last Update Date | 19/08/2021 |
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.