Individual
LAURA DANIELLE GOEDHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1869
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013393
AZ
Other
Enumeration date
10/11/2017
Last updated
03/20/2024
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