Samantha Goodmanson

NPI #1205137551 in Hugo, Minnesota

Provider Information

NPI Number: 1205137551
Entity Type: Individual
Name: Samantha Goodmanson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 3, 2010
Last Updated: Nov 3, 2010

Practice Location

Address: 5525 141ST ST N
City: Hugo
State: Minnesota
ZIP Code: 55038-8429
Phone: (612) 356-8764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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