Individual
MR. CHAD GOODING
Active
Individual
MR. CHAD GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM0529
MEDICARE ID TYPE UNSPEC
OH
Enumeration date
04/05/2006
Last updated
04/11/2008
Update your record
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