Individual
STEPHEN DAYTON GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 VALLEY MANOR LN, WILLIAMSTOWN, WV 26187-8260
(304) 375-1990
Mailing address
282 VALLEY MANOR LN, WILLIAMSTOWN, WV 26187-8260
(304) 375-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1602
WV
225100000X
Physical Therapist
PT7749
OH
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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