Individual
BOBBI JO GOODWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OMPT, CLT
Contact information
Practice address
52900 GARFIELD RD, MACOMB, MI 48042-3573
(586) 991-1399
(586) 218-3111
Mailing address
52900 GARFIELD RD, MACOMB, MI 48042-3573
(586) 991-1399
(586) 218-3111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010849
MI
Other
Enumeration date
04/20/2007
Last updated
10/20/2022
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