Individual
MR. DAVID JOHN GOODWIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
110 W TIMONIUM RD, TIMONIUM, MD 21093-7300
(410) 308-4726
Mailing address
1211 MALBAY DR, LUTHERVILLE, MD 21093-5410
(410) 808-6169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24994
MD
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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