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Organization
GOODMAN PHYSICAL THERAPY
Active
Organization
GOODMAN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA POLL GOODMAN P.T. (OWNER/P.T.)
(310) 441-1102
Entity
Organization
Contact information
Practice address
2001 S BARRINGTON AVE, SUITE 119, LOS ANGELES, CA 90025-5363
(310) 441-1102
(310) 441-1088
Mailing address
9854 NATIONAL BLVD # 437, LOS ANGELES, CA 90034-2713
(310) 441-1102
(310) 441-1088
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT 18437
CA
225100000X
Physical Therapist
Primary
18437
CA
Other
Enumeration date
11/15/2007
Last updated
09/14/2016
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