NPI 1003421710

Gracelyn J. Goodwin, COTAL

Practitioner Occupational Therapy Assistant Tallahassee, FL

Practice location

Address: 2711 Capital Medical Blvd, Tallahassee, FL 32308-4497
Phone: (850) 210-1172
Mailing address: 7820 Highway 90, Sneads, FL 32460-2232

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA17498 (FL)

Other Occupational Therapy Assistant providers in Florida →

Registry record

NPI: 1003421710
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.