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Individual

GREG D. GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
7810 FIVE MILE ROAD, CINCINNATI, OH 45230
(513) 246-7000
(513) 246-2876
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7800
(513) 246-7852

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008453
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2490782
OH
01
PT.008435
OH LIC
OH
Enumeration date
10/03/2006
Last updated
01/21/2015
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