Individual
MS. LISA HOPE GOODFRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, CWS, FCCWS
Contact information
Practice address
7TH AND CLAYTON STREETS, ST. FRANCES WOUND CARE CENTER, SUITE 601 MSB, WILMINGTON, DE 19805
(302) 575-8180
(302) 575-8185
Mailing address
15 BRIDLE PATH, WILMINGTON, DE 19808-2740
(410) 707-9891
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
19268
MD
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
J1-0002084
DE
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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