Organization
GOODFELLOW OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E GOODFELLOW OTR (OWNER)
(559) 228-9100
Entity
Organization
Contact information
Practice address
2505 W SHAW AVE, BUILDING A, FRESNO, CA 93711-3334
(559) 228-9100
(559) 228-9200
Mailing address
2505 W SHAW AVE, BUILDING A, FRESNO, CA 93711-3334
(559) 228-9100
(559) 228-9200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2598
CA
Other
Enumeration date
12/14/2006
Last updated
06/20/2008
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