Individual
MRS. JOAN ELAINE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 E 186TH ST, WESTFIELD, IN 46074-7827
(317) 804-8044
Mailing address
937 E 186TH ST, WESTFIELD, IN 46074-7827
(317) 804-8044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003390A
IN
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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