Individual
MS. AMY LOUISE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., C.S.C.S
Contact information
Practice address
1199 S BELT LINE RD STE 140, COPPELL, TX 75019-7610
(972) 745-9060
(972) 745-9069
Mailing address
1199 S BELT LINE RD STE 140, COPPELL, TX 75019-7610
(972) 745-9060
(972) 745-9069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84302T
BCBS ID
TX
Enumeration date
11/09/2006
Last updated
07/09/2007
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