Individual
JODY LYNN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4066 RED ARROW HWY STE A, SAINT JOSEPH, MI 49085-9209
(269) 408-0494
(269) 408-0492
Mailing address
8833 BEECHWOOD CT, BERRIEN CENTER, MI 49102-8721
(269) 357-3737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013037
MI
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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