Individual
MRS. JENNIFER GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
123 DUPONT DR NW, AIKEN, SC 29801-4089
(803) 648-0434
Mailing address
10 HARDWOOD CT, AIKEN, SC 29803-7912
(803) 642-4327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3709
SC
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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