PEGGY GOODMAN

RUPERT, ID
NPI1740680404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-253)
Enumeration Date2014-09-01
Last Update Date2014-09-01
Business Address
-- PEGGY GOODMAN P.T.
610 18TH ST
RUPERT, ID 83350-1027
Phone number: 208-431-3444
Mailing Address
-- PEGGY GOODMAN P.T.
610 18TH ST
RUPERT, ID 83350-1027
Phone number: 208-431-3444
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