Individual
MR. WILLIAM GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2796 S.R. 2153, MORGANFIELD, KY 42437
(270) 333-7223
Mailing address
2796 S.R. 2153, MORGANFIELD, KY 42437
(270) 333-7223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-A00389
KY
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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