Organization
LAKESIDE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD V. GOODIER R. P. T. (PRESIDENT)
(479) 253-1711
Entity
Organization
Contact information
Practice address
1221 COUNTY ROAD 157, EUREKA SPRINGS, AR 72632-9343
(479) 253-1711
(215) 261-0814
Mailing address
1221 COUNTY ROAD 157, EUREKA SPRINGS, AR 72632-9343
(479) 253-1711
(215) 261-0814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
627
AR
Other
Enumeration date
05/05/2007
Last updated
08/22/2020
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