Individual
SHIRLEY FAYE GOUDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 EVERGREEN DR, EAST PROVIDENCE, RI 02914-1503
(401) 438-3250
(401) 438-4813
Mailing address
5 N BENSON AVE, WARWICK, RI 02888-4425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00135
RI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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