Individual
MRS. ANDREA LYNN GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY, SUITE 200, LOUSIVILLE, KY 40222
(502) 412-5847
Mailing address
227 N DAVISON ST, DAVISON, MI 48423
(810) 569-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014308
MI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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