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Individual

EDWARD TITUS GOODMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4825 UNIVERSITY SQ, SUITE 9, HUNTSVILLE, AL 35816-1826
(256) 348-2144
Mailing address
1660 OSCAR PATTERSON RD, NEW MARKET, AL 35761-9418
(256) 348-2144

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4539
AL

Other

Enumeration date
09/28/2006
Last updated
08/03/2015
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