Individual
DEBRA ANN GOODREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
464 MAIN ST, AGAWAM, MA 01001-1826
(413) 786-8000
(413) 821-0733
Mailing address
599 CENTER ST, LUDLOW, MA 01056-1460
(413) 583-6237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
359
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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