| Doctor Name: | CORRIE GOODINE |
| NPI Number: | 1356619373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 10914-024 |
| Business Practice Address: | N7135 Rocky Knoll Pkwy Plymouth, WI - 530733103 |
| Business Phone Number: | 9204491254 |
| Business Fax Number: | |
| Mailing Address: | 2222 N Kay Dr, SHEBOYGAN |
| State: | WI |
| Postal Code: | 530834331 |
| Phone Number: | 9209805431 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2011 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10914-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |