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Amy Goodpasture

Physical Therapy Assistant in Ormond Beach, FL. Individual provider (NPI-1).

NPI number1922454875
StatusActive
Last updated in NPPESMay 10, 2016

Details

NPI
1922454875
Entity type
Individual (NPI-1)
Name
Amy Goodpasture
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2016
Last updated
May 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

72 Loyola Dr
Ormond Beach, FL 32176-7805

Phone 386-852-6590

Mailing address

72 Loyola Dr
Ormond Beach, FL 32176-7805

Phone 386-852-6590

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