Individual
HEATHER GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7173
Mailing address
301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
(334) 255-7173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47065
AL
Other
Enumeration date
06/18/2014
Last updated
07/26/2024
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