Individual
DIANA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 ELLERMAN ST, PIQUA, OH 45356-3258
(937) 541-9906
Mailing address
333 ELLERMAN ST, PIQUA, OH 45356-3258
(937) 541-9906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08943
OH
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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