Individual
MR. STEPHEN GOODNOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
311 NE 3RD ST, COUPEVILLE, WA 98239-3427
(360) 678-2273
(360) 678-8715
Mailing address
PO BOX 31, CLINTON, WA 98236-0031
(360) 678-2273
(360) 678-8715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60045654
WA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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