Individual
MR. JONATHAN STEPHEN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 SPRUNT ST, DEPARTMENT OF PT/OT, CHAPEL HILL, NC 27517-7811
(919) 843-2164
(919) 843-2195
Mailing address
101 MANNING DR, DEPARTMENT OF PT/OT, CHAPEL HILL, NC 27514-4220
(919) 843-1890
(919) 966-0348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13718
NC
Other
Enumeration date
07/20/2012
Last updated
10/01/2014
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