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Individual

CRYSTAL MILLER GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1525 COUNTRY CLUB RD, ATTN: PHYSICAL THERAPY DEPARTMENT, SHERWOOD, AR 72120-5076
(501) 978-3135
Mailing address
1525 COUNTRY CLUB RD, ATTN: PHYSICAL THERAPY DEPARTMENT, SHERWOOD, AR 72120-5076
(501) 978-3135

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3272
AR

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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