Goodly, Mia
Goodly, Mia is an sole proprietor health care provider with primary practice located at 5535 S Williamson Blvd Suite 774, Port Orange FL 32128-8311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Goodly, Mia can be contacted via phone (888) 265-2680.Contact Information
Primary practice address
5535 S Williamson Blvd Suite 774
Port Orange FL 32128-8311
Phone: (888) 265-2680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 057004116 | Illinois |
Profile Details
| NPI number | 1639623499 |
|---|---|
| LBN Legal business name | Goodly, Mia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2016 |
| Last updated | Aug 10th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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