Individual
BRICE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
306162
CA
208100000X
Physical Medicine & Rehabilitation Physician
PTL.0017741
CO
225100000X
Physical Therapist
Primary
2305214651
VA
225100000X
Physical Therapist
306162
CA
Other
Enumeration date
07/02/2021
Last updated
08/21/2026
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