Individual
JACQUELINE VIRGINIA GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20311 TIMBERLAKE RD, STE B, LYNCHBURG, VA 24502-7203
(434) 845-9053
(434) 528-2788
Mailing address
20347 TIMBERLAKE RD, STE B, LYNCHBURG, VA 24502-7352
(434) 845-9053
(434) 528-2788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207484
VA
Other
Enumeration date
08/01/2012
Last updated
11/10/2016
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