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Individual
ALICE D GOODRICH
Active
Individual
ALICE D GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
FL20006
FL
225100000X
Physical Therapist
Primary
040-0003688
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017791
—
VT
Enumeration date
05/06/2007
Last updated
07/15/2013
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