Individual
JUSTINE A GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(810) 923-3142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001494
MI
Other
Enumeration date
06/04/2007
Last updated
03/08/2022
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