Individual
HANNAH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1908 BUGLE LN, CLEARWATER, FL 33764-2402
(706) 614-0805
Mailing address
1908 BUGLE LN, CLEARWATER, FL 33764-2402
(706) 614-0805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21903
FL
225200000X
Physical Therapy Assistant
PTA002674
GA
Other
Enumeration date
12/03/2013
Last updated
01/03/2019
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