Individual
KYLE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3708 MOUNTAIN RD STE D, PASADENA, MD 21122-2025
(410) 255-4833
(410) 255-4834
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214077
VA
225100000X
Physical Therapist
27753
MD
Other
Enumeration date
11/05/2019
Last updated
06/06/2025
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