Individual
MORGAN MICHEL GOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4801 SPRINGFIELD ST, DAYTON, OH 45431-1084
(937) 236-9965
Mailing address
533 BROOKMEADE CT, TROY, OH 45373-8304
(937) 902-7121
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT018119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363730
—
OH
01
—
PT018119
PHYSICAL THERAPY LICENSURE
OH
Enumeration date
07/11/2019
Last updated
08/25/2022
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