Individual
JESSICA GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10 ELM ST, DANVERS, MA 01923-2824
(978) 304-0536
Mailing address
10 ELM ST, DANVERS, MA 01923-2824
(978) 034-0536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26321
MA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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