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Contact Information

AMANDA GOODWIN, COTA
4400 WALNUT ST
GREENVILLE, TX75401-5586
 Phone: 903-455-4618
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AMANDA GOODWIN · (Female)

NPI Number 1245715747
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 10/01/2018
Last updated 10/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 214317
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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