Individual
SHAWN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4840 E INDIAN SCHOOL RD STE 103, PHOENIX, AZ 85018-5500
(602) 547-1836
Mailing address
PO BOX 50971, PHOENIX, AZ 85076-0971
(602) 918-1810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9766
AZ
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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