Individual
ERIC J. GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4115 GLEN PARK RD, NOTTINGHAM, MD 21236-1018
(727) 488-1534
Mailing address
9313 SEVEN COURTS DR, NOTTINGHAM, MD 21236-4761
(727) 488-1534
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17378
MD
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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