Individual
MEGAN LYNN GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
1487 TIFFANY ST, BOYCEVILLE, WI 54725-9543
(715) 271-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3029-19
WI
225200000X
Physical Therapy Assistant
Primary
4546
MN
Other
Enumeration date
08/01/2017
Last updated
06/27/2021
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