Individual
MRS. ANNE F GOODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1852 PENNROSE DR, REIDSVILLE, NC 27320-6133
(336) 634-7859
(336) 634-1687
Mailing address
1852 PENNROSE DR, REIDSVILLE, NC 27320-6133
(336) 634-7859
(336) 634-1687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0780E
BCBS OF NC NUMBER
NC
05
—
720780E
—
NC
Enumeration date
08/08/2006
Last updated
07/09/2007
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