Individual
MRS. DAWN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 SHARP ST, MILLVILLE, NJ 08332-2444
(856) 327-2700
Mailing address
12 CORNWALL AVE, MILLVILLE, NJ 08332-4847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00231300
NJ
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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