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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