Individual
LAURIE D GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
310 N DIXIE HWY, #105, LAKE WORTH, FL 33460-6814
(561) 827-6982
Mailing address
310 N DIXIE HWY, #105, LAKE WORTH, FL 33460-6814
(561) 827-6982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21614
FL
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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