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1104306646
STEPHANIE GODDARD
COLUMBUS, OH
NPI
1104306646
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Other Name
STEPHANIE PACKARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OH PTA09558)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
STEPHANIE GODDARD PTA
323 E TOWN ST
COLUMBUS, OH 43215-4767
Phone number: 614-788-5190
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Mailing Address
STEPHANIE GODDARD PTA
4661 PARKWICK DR
COLUMBUS, OH 43228-6469
Phone number:
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