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Individual
DR. JOHN W GOODBODY
Active
Individual
DR. JOHN W GOODBODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
X0078051
NY
225100000X
Physical Therapist
Primary
0121751
NY
Other
Enumeration date
11/01/2006
Last updated
03/24/2009
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