Individual
CORRIE GOODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(920) 449-1254
Mailing address
2222 N KAY DR, SHEBOYGAN, WI 53083-4331
(920) 980-5431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10914-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10914-024
PHYSICAL THERAPIST LICENSE
WI
Enumeration date
12/05/2011
Last updated
12/05/2011
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