| Donnal Blake Goodwin, COTA | |
|
116 Mccardell Ln, Livingston, TX 77351-3347 | |
| (936) 239-3308 | |
| Not Available |
| Full Name | Donnal Blake Goodwin |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 116 Mccardell Ln, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730650615 | NPI | - | NPPES |
| 209855 | Other | TX | TBOTE CERTIFICATION |
| 221830 | Other | TX | NBCOT LICENSE |
| 19091795 | Other | TX | DRIVES LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 125127 (Texas) | Primary |
| Provider Name | Synergy Care Southeast Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Donnal Blake Goodwin, COTA 116 Mccardell Ln, Livingston, TX 77351-3347 Ph: (936) 239-3308 | Donnal Blake Goodwin, COTA 116 Mccardell Ln, Livingston, TX 77351-3347 Ph: (936) 239-3308 |
Matthew Oscar Reilly, OTR, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Us-59 Loop S, Livingston, TX 77351 Phone: 936-328-8148 | |
Jamie K Nutt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Us-59 Loop N, Livingston, TX 77351 Phone: 936-327-5415 | |
Karen Fowler-arias, MS OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 440 U.s 59 Loop South, #104, Livingston, TX 77351 Phone: 812-454-6652 | |
Amy Cristen Cherry, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Highway 59 Loop S, Suite 104, Livingston, TX 77351 Phone: 936-328-8148 Fax: 936-327-2491 | |
Dr. Clinton Jarell Collins, OTR/L, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Us-59 N, Livingston, TX 77351 Phone: 936-327-5415 | |
Alison Glass, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Highway 59 Loop S Ste 104, Livingston, TX 77351 Phone: 888-328-8148 | |
Sherry L Levesque, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Highway 59 Loop S, Suite 104, Livingston, TX 77351 Phone: 936-328-8418 Fax: 936-327-2491 |