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Amy Lee Goddard, PT

Physical Therapist in Roseburg, OR. Individual provider (NPI-1).

NPI number1659705291
StatusActive
Last updated in NPPESAug 30, 2013

Details

NPI
1659705291
Entity type
Individual (NPI-1)
Name
Amy Lee Goddard
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2013
Last updated
Aug 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist06461ORYes

Practice location

2448 W Harvard Ave
Roseburg, OR 97471-2500

Phone 541-673-2408 · Fax 541-673-2432

Mailing address

7634 N Bank Rd
Roseburg, OR 97470-8494

Phone 207-974-6798

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Other Physical Therapist providers in Roseburg, OR

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