Individual
ALMA LIDIA GODOY MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12284
TN
225100000X
Physical Therapist
Primary
4783
AR
225100000X
Physical Therapist
6794
MS
Other
Enumeration date
10/29/2019
Last updated
06/11/2020
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