DR. Randall Joe Goodman II, DPT

NPI #1932463999 in Havana, Illinois

Provider Information

NPI Number: 1932463999
Entity Type: Individual
Name: DR. Randall Joe Goodman II, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 25, 2012
Last Updated: Jun 25, 2012

Practice Location

Address: 615 N PROMENADE ST
City: Havana
State: Illinois
ZIP Code: 62644-1243
Phone: (309) 543-8578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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