Individual
MONICA GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S HEALTH PKWY, THREE RIVERS, MI 49093-9387
(269) 278-6108
Mailing address
7134 WALTHAM DR, KALAMAZOO, MI 49009-9529
(330) 550-1767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09604
OH
225200000X
Physical Therapy Assistant
5502005525
MI
225200000X
Physical Therapy Assistant
Primary
A5801
NC
Other
Enumeration date
04/17/2017
Last updated
02/08/2024
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