Individual
MR. ERNEST CLAUDE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 VETERANS BLVD, SUITE C, FESTUS, MO 63028-2394
(636) 931-2100
(636) 931-2300
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-4225
(636) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114775
MO
Other
Enumeration date
08/29/2006
Last updated
07/30/2019
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