Individual
CRYSTAL C GOUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
, PT, DPT
Contact information
Practice address
1408 GREENWAY CT, SANFORD, NC 27330-6953
(919) 708-7220
Mailing address
1408 GREENWAY CT, SANFORD, NC 27330-6953
(919) 708-7220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12791
NC
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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