Individual
MEGAN ELIZABETH GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
501 W 12TH ST, ERIE, PA 16501-1536
(814) 455-3719
Mailing address
5723 CLARK RD, ERIE, PA 16510-6138
(814) 392-4442
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005326
PA
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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