TIFFANY GOODWYN

TYLER, TX
NPI1598246241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2121557)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
TIFFANY GOODWYN PTA
2450 E 5TH ST
TYLER, TX 75701-3525
Phone number: 903-592-6745
Mailing Address
TIFFANY GOODWYN PTA
PO BOX 7041
TYLER, TX 75711-7041
Phone number: