Individual
MARK E GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
WHEELING HOSPITAL INC, 1 MEDICAL PARK, WHEELING, WV 26003
(304) 243-3124
(304) 243-6343
Mailing address
210 WHITE BELL CIRCLE DRIVE, WELLSBURG, WV 26070
(304) 737-0984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
383
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6206
OHIO LICENSE
OH
Enumeration date
12/18/2006
Last updated
07/08/2007
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