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Individual

CURTIS GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
375 MUNICIPAL DR, STE 108, RICHARDSON, TX 75080-3559
(214) 575-4040
Mailing address
1315 TIMBERVIEW DR, ALLEN, TX 75002-2928
(469) 675-0630

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1129385
LICENSE NUMBER
TX
01
8T7225
BLUECROSSBLUESHIELD
TX
Enumeration date
08/30/2006
Last updated
11/09/2007
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