Individual
JENNIFER RUTH GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 665-8200
(330) 665-8197
Mailing address
4595 POE RD, MEDINA, OH 44256-9743
(330) 665-8200
(330) 665-8197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6439
OH
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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