Individual
DAWN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 UNIONVILLE INDIAN TRAIL RD W, STE B-13, INDIAN TRAIL, NC 28079-5583
(704) 456-2170
Mailing address
115 UNIONVILLE INDIAN TRAIL RD W, STE B-13, INDIAN TRAIL, NC 28079-5583
(704) 456-2170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12358
NC
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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