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Organization
SKY R. GOUDEY P T INC P S
Active
Organization
SKY R. GOUDEY P T INC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKY R GOUDEY (OWNER - SUPERVISOR)
(360) 533-2252
Entity
Organization
Contact information
Practice address
72840 HIGHWAY 111 STE A-150, PALM DESERT, CA 92260-3324
(858) 614-6332
(858) 614-6332
Mailing address
72840 HIGHWAY 111 STE A-150, PALM DESERT, CA 92260-3324
(858) 614-6332
(858) 614-6332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002582
WA
Other
Enumeration date
09/13/2010
Last updated
04/23/2018
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