Individual provider · Type 1 NPI

Tara Goodwin

Occupational Therapy Assistant · Coeur D Alene, ID

NPI number 1215134580 Active

Practice location

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403

Mailing address

7384 N Barbie St
Coeur D Alene, ID 83815-9715

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-192 (ID)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1215134580

Tara Goodwin's National Provider Identifier is 1215134580, issued on Jun 29, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.