Goodwin, Donnal Blake

Goodwin, Donnal Blake is an sole proprietor health care provider with primary practice located at 116 Mccardell Ln , Livingston TX 77351-3347. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Goodwin, Donnal Blake can be contacted via phone (936) 239-3308.

Contact Information

Primary practice address
116 Mccardell Ln Livingston TX 77351-3347
Fax:
Website:

Health care specialties

Profile Details

NPI number 1730650615
LBN Legal business name Goodwin, Donnal Blake
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2018
Last updated Jun 6th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730650615 NPPES
Texas Other 209855 TBOTE CERTIFICATION
Texas Other 221830 TBOTE CERTIFICATION
Texas Other 19091795 TBOTE CERTIFICATION

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