MRS. Tara Michele Goodson, LPTA

NPI #1578773123 in Melbourne, Arkansas

Provider Information

NPI Number: 1578773123
Entity Type: Individual
Name: MRS. Tara Michele Goodson, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1114 E MAIN ST
City: Melbourne
State: Arkansas
ZIP Code: 72556
Phone: (870) 368-4377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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