NPI 1215134580

Tara Goodwin

Practitioner Occupational Therapy Assistant Coeur D Alene, ID

Practice location

Address: 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403
Phone: (208) 664-2185
Mailing address: 7384 N Barbie St, Coeur D Alene, ID 83815-9715

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-192 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1215134580
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2007
Record last updated: 8 Jul 2007

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.