Individual
MS. DEBRA LEA GOODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20310 SUGARLOAF RESERVE DR, DULUTH, GA 30097-5217
(770) 814-0878
Mailing address
20310 SUGARLOAF RESERVE DR, DULUTH, GA 30097-5217
(770) 814-0878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002161
GA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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