LIANA BROOKE GODBOLD

LAKE CITY, FL
NPI1245824911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA30806)
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
Miss LIANA BROOKE GODBOLD PTA
560 SW MCFARLANE AVE
LAKE CITY, FL 32025-5614
Phone number: 386-758-4777
Mailing Address
Miss LIANA BROOKE GODBOLD PTA
116 NW VETERANS ST APT 304
LAKE CITY, FL 32055-2809
Phone number: 386-365-8826
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