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Mrs. Stacey P Goodman, COTA
Specialist in South Bend, Indiana
NPI 1568639490

Stacey P Goodman is a Specialist based in Osceola, IN. Stacey P Goodman practices in South Bend, IN and has the professional credentials of COTA. The NPI Number for Stacey P Goodman is 1568639490 and holds a License No. 32000767A (Indiana).

The current practice location address for Stacey P Goodman is 926 E Wayne St, South Bend, IN and can be reached out via phone at 574-233-8812 and via fax at 574-233-8873.

Location: 926 E Wayne St, South Bend, IN, 46561-9355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568639490
Provider Name
Stacey P Goodman
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
926 E Wayne St, South Bend, IN, 46561-9355
Phone Number
574-233-8812
Fax Number
574-233-8873
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
926 E Wayne St
City
South Bend
State
Indiana
Zip
46617-3000
Phone Number
574-233-8812
Fax Number
574-233-8873
person
Provider Business Mailing Address Details
Address
926 E Wayne St
City
South Bend
State
Indiana
Zip
46617-3000
Phone Number
574-233-8812
Fax Number
574-233-8873
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
32000767A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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