Organization
IRON OAK PHYSICAL THERAPY AND PERFORMANCE LLC KYLE GOODWIN SOLE MBR
Active
Organization
IRON OAK PHYSICAL THERAPY AND PERFORMANCE LLC KYLE GOODWIN SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE GOODWIN PT, DPT (OWNER)
(443) 366-4757
Entity
Organization
Contact information
Practice address
624 INNOVATION DR STE 105, CHESAPEAKE, VA 23320-3867
(443) 366-4757
Mailing address
156 SECRETARIAT DR, SUFFOLK, VA 23435-1786
(443) 366-4757
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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