Individual
TODD MICHAEL GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
133 RUSSELL AVE, EDGEWATER, NJ 07020-3128
(917) 650-8606
Mailing address
133 RUSSELL AVE, EDGEWATER, NJ 07020-3128
(917) 650-8606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT0191600
—
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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