Individual
LISA DAWN GOHDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3250 LOMITA BOULEVARD, SUITE 306, TORRANCE, CA 90505-5006
(310) 539-8800
(310) 698-5414
Mailing address
1514 W. 5TH STREET, SAN PEDRP, CA 90732-3418
(310) 548-9748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 1965
CA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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