Individual
ELIZABETH AMANDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
(562) 437-5072
Mailing address
306 CONGRESS PL, PASADENA, CA 91105-2910
(626) 755-0112
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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