| NPI | 1396358693 |
|---|---|
| Former Name | ALLISON GOODENOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11866333-8016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297937) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-11-29 |