Individual
AMBER GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-3626
Mailing address
4538 COUNTY ROAD 1201, RUSK, TX 75785-4506
(903) 920-9224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089849
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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