Individual
MICHAEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
8133 MOUNTAIN VIEW CIR, PASADENA, MD 21122-7703
(443) 623-3914
Mailing address
8133 MOUNTAIN VIEW CIR, PASADENA, MD 21122-7703
(443) 623-3914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00069
MD
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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