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Contact Information

HAROLD GOODRUM JR
943 MAPLE DR
MORGANTOWN, WV26505-2812
 Phone: 304-599-2515
 Fax: 304-285-3738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HAROLD GOODRUM JR · (Male)

NPI Number 1194273185
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2016
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 2554
  • WV License # 2507
  • GA Other 002554 OT LICENSE
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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