Individual provider · Type 1 NPI

Diane V. Goodloe, OT

Occupational Therapist · Ridgeland, MS

NPI number 1083916068 Active

Practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT 1318 (MS)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1083916068

Diane V. Goodloe, OT's National Provider Identifier is 1083916068, issued on Nov 24, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ridgeland, MS. The record was last updated on Nov 24, 2010.