Individual
FREDA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
700 W EMERSON AVE APT 5, MONTEREY PARK, CA 91754-1542
(626) 482-4256
Mailing address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
(909) 596-3548
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
28218
CA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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