Individual
LISA BARTLETT GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
790 COLLEGE PKWY, FANNY ALLEN CAMPUS, PT DEPARTMENT, COLCHESTER, VT 05446-3007
(802) 847-8584
(802) 847-1938
Mailing address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-8584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002256
VT
Other
Enumeration date
10/18/2006
Last updated
07/23/2007
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