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CANDACE LOUISE GOODWIN PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1194919894

Individual Registrant:
 CANDACE LOUISE GOODWIN PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1378 MAIN ST  CARBONDALE, CO 81623-1840 US
Tel: 970-963-6600  Fax: --

Contact information for business:
40 CRYSTAL RD  CARBONDALE, CO 81623-1813 US
Tel: 970-963-2043  Fax: --

Registration Information:
NPI: 1194919894
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CO3632

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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