Individual
MRS. KARA LEA GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-3227
Mailing address
6102 S 96TH CT, #202, OMAHA, NE 68127-3398
(402) 850-0735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
726
NE
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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