Individual
MR. JOHN DAHL GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/PTA
Contact information
Practice address
6049 N 1ST ST STE 101, FRESNO, CA 93710-5449
(559) 432-0524
(559) 449-8646
Mailing address
6049 N 1ST ST STE 101, FRESNO, CA 93710-5449
(559) 432-0524
(559) 449-8646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1938
CA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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