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MRS. MICHELLE ANN GOOD OTR/L
Hand >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1508921990
Individual Registrant:MRS. MICHELLE ANN GOOD OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2601 DEMERE RD ST SIMONS ISLAND, GA 31522-1614 US
Tel: 912-634-9945 Fax: 912-638-1584
Tel: 912-634-9945 Fax: 912-638-1584
Contact information for business:
409 WHITEFIELD AVE. ST. SIMONS ISLAND, GA 31522 US
Tel: 912-222-7413 Fax: --
Tel: 912-222-7413 Fax: --
Registration Information:
NPI: 1508921990
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Hand | GA | 002198 |
| Y | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | GA | OT002198 |
| N | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | GA | OT002198 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
