Individual
STACEY D GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
812 ACTON AVE, BIRMINGHAM, AL 35209-6206
(205) 593-4410
Mailing address
812 ACTON AVE, BIRMINGHAM, AL 35209-6206
(205) 593-4410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3068
AL
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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