Individual
STEPHANIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
756 N SUN DR, LAKE MARY, FL 32746-2507
(407) 852-3300
Mailing address
645 LANCE CT, OVIEDO, FL 32765-9154
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
09/30/2024
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