Individual
DENICE GOODWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3504 FLINT ST APT D225, GREENSBORO, NC 27405-3298
(336) 545-4157
(336) 545-4587
Mailing address
1428 CANTWELL CT, HIGH POINT, NC 27265-9221
(336) 886-6095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5270
NC
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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