Individual
TERESA GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5310 FOUNTAIN AVE, FOUNTAIN VIEW SUBACUTE & NURSING,, LOS ANGELES, CA 90029
(323) 461-9961
(323) 461-6854
Mailing address
415 E DRYDEN ST UNIT 101, GLENDALE, CA 91207-2251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6490
CA
Other
Enumeration date
01/16/2015
Last updated
01/22/2015
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