Individual
MR. ROBERT THOMAS GODSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1807 MERCER RD, ELLWOOD CITY, PA 16117-3037
(724) 758-3338
Mailing address
1807 MERCER RD, ELLWOOD CITY, PA 16117-3037
(724) 758-3338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009527
PA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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