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1750488565
MICHELLE GOODMAN
LIBERTYVILLE, IL
NPI
1750488565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013568)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- MICHELLE GOODMAN MPT
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048-3204
Phone number: 847-990-5350
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Mailing Address
-- MICHELLE GOODMAN MPT
5806 OXFORD CIR
GURNEE, IL 60031-1668
Phone number: 847-347-9367
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