Individual
JESSICA GOODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 GEORGIA AVE NW, BLDG 2 ROOM 3J, WASHINGTON, DC 20307-0003
(202) 782-6371
Mailing address
6900 GEORGIA AVE NW, BLDG 2 ROOM 3J, WASHINGTON, DC 20307-0003
(202) 782-6371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0066216
VT
225100000X
Physical Therapist
18116
MA
225100000X
Physical Therapist
Primary
8272
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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