| NPI | 1891862017 |
|---|---|
| Former Name | LAURA L. GOODING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6404-024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 6404-024) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-04-17 |