Individual
MS. ELAINE YOST GOODALL
Active
Individual
MS. ELAINE YOST GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T,
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152434
SOUTHERN HEALTH
VA
01
—
195383
ANTHEM
VA
Enumeration date
09/04/2008
Last updated
10/08/2008
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