Ellen Goodall, DPT
Physical Therapist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1699028233
StatusActive
Last updated in NPPESOct 19, 2012
Details
- NPI
- 1699028233
- Entity type
- Individual (NPI-1)
- Name
- Ellen Goodall
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2012
- Last updated
- Oct 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
505 Elm St NeAlbuquerque, NM 87102-2500
Phone 505-727-4781
Mailing address
1220 Stanford Dr NeAlbuquerque, NM 87106-3723
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