Individual
LESLIE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
(301) 498-8100
(301) 498-0009
Mailing address
14409 GREENVIEW DR, SUITE 102, LAUREL, MD 20708-3293
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16673
MD
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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