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NPI Code Detail

MEDICARE: COURTNEY GOODNIGHT

MEDICARE:   COURTNEY  GOODNIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1437660990
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY GOODNIGHT
Provider Business Mailing Address
First Line : 274 EUREKA RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 274 EUREKA RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-2126
Country : US
Telephone Number : 304-610-3156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ COURTNEY GOODNIGHT ” Practice Location

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