Individual
MRS. CHRISTINE ANN GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
614 SPRUCE, BROOKINGS, OR 97415
(541) 469-1062
Mailing address
513 HASSETT ST, BROOKINGS, OR 97415-8205
(541) 469-5907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8304
OR
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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