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Individual

REBECCA LYNN GOODING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
3211 E MOORES PIKE, #340, BLOOMINGTON, IN 47401-7129
(812) 334-7604
Mailing address
3211 E MOORES PIKE, #340, BLOOMINGTON, IN 47401-7129
(812) 876-8818

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004605A
IN

Other

Enumeration date
04/23/2007
Last updated
01/16/2014
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