Individual
MRS. JENNIFER DAWNITA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4165
Mailing address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04514
KS
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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