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Individual

MRS. ALBERTA GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3308
(410) 583-1515
(410) 583-2491
Mailing address
1209 TALBOTT SQ, BELCAMP, MD 21017-1338
(410) 583-1515
(410) 583-2491

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1199
MD

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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