| NPI | 1013908169 |
|---|---|
| Doing Business As | GOODELL PHYSICAL THERAPY & FITNESS TRAINING |
| Entity Type | Organization |
| Authorized Contact | HEATHER PURDIN GOODELL President 503-292-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3705) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-22 |