Doctor Name: | MRS. MICHELLE ANN GOOD |
NPI Number: | 1508921990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 002198 |
Business Practice Address: | 2601 Demere Rd St Simons Island, GA - 315221614 |
Business Phone Number: | 9126349945 |
Business Fax Number: | 9126381584 |
Mailing Address: | 409 Whitefield Ave., ST. SIMONS ISLAND |
State: | GA |
Postal Code: | 31522 |
Phone Number: | 9122227413 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 002198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |