Individual
MRS. LESA A GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
939 HIGHWAY K, O FALLON, MO 63366-2910
(636) 240-7000
(636) 240-7513
Mailing address
939 HIGHWAY K, O FALLON, MO 63366-2910
(636) 240-7000
(636) 240-7513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117046
MO
Other
Enumeration date
08/17/2006
Last updated
01/17/2008
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