Individual
AMY GOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3008B BERKMAR DR, CHARLOTTESVILLE, VA 22901-1443
(434) 973-5031
(434) 973-0520
Mailing address
3008B BERKMAR DR, CHARLOTTESVILLE, VA 22901-1443
(434) 973-5031
(434) 973-0520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978056
—
VA
Enumeration date
05/19/2015
Last updated
05/19/2015
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