MISS LESLIE GOODRUM
Occupational Therapist
Active
Individual
NPI: 1982748570
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | 0753 (AZ) |
Frequently Asked Questions
NPI 1982748570 is the National Provider Identifier for MISS LESLIE GOODRUM, a Occupational Therapist provider located in Tonopah, AZ. This NPI was enumerated on February 16, 2007.
MISS LESLIE GOODRUM practices at 38201 W INDIAN SCHOOL RD, Tonopah, AZ 85354.
Quick Facts
- NPI
- 1982748570
- Type
- Individual
- Enumerated
- Feb 16, 2007
- Last Updated
- Jul 9, 2007
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