| NPI | 1144288648 |
|---|---|
| Former Name | CYNTHIA LYNN GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400002876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT12288) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-05-07 |