LORI GOODSON

BLYTHEVILLE, AR
NPI1194962878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 1700)
Enumeration Date2009-01-16
Last Update Date2009-01-16
Business Address
-- LORI GOODSON
4407 AMARILLO ST
BLYTHEVILLE, AR 72315-5702
Phone number: 870-532-2229
Mailing Address
-- LORI GOODSON
PO BOX 333
LAKE CITY, AR 72437-0333
Phone number: