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1740909837
BRIAN GOODWIN
FAIRFAX, VA
NPI
1740909837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
BRIAN GOODWIN PT, DPT
8100 INNOVATION PARK DR STE LL20
FAIRFAX, VA 22031-4870
Phone number: 571-472-0490
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Mailing Address
BRIAN GOODWIN PT, DPT
12100 POLO DR APT 513
FAIRFAX, VA 22033-4015
Phone number: 757-390-8504
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