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1518728393
AUSTIN GODDARD
TROY, MI
NPI
1518728393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501303198)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
AUSTIN GODDARD DPT
1560 E MAPLE RD STE 205
TROY, MI 48083-1135
Phone number: 248-923-3180
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Mailing Address
AUSTIN GODDARD DPT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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