Amber Goddard

NPI #1992056006 in Mattoon, Illinois

Provider Information

NPI Number: 1992056006
Entity Type: Individual
Name: Amber Goddard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 28, 2012
Last Updated: Sep 28, 2012

Practice Location

Address: 201 LAFAYETTE AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-4409
Phone: (217) 235-5549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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