Michelle Goodrich, PTA

NPI #1376989103 in Phoenix, Arizona

Provider Information

NPI Number: 1376989103
Entity Type: Individual
Name: Michelle Goodrich, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 20, 2013
Last Updated: May 20, 2013

Practice Location

Address: 15430 N 25TH ST
Address 2: APT. 102
City: Phoenix
State: Arizona
ZIP Code: 85032-8040
Phone: (480) 322-9206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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