FAY ALLEN GOODALL PT

Dr FAY ALLEN GOODALL PT is a male medical professional, specializing in Physical Therapy. He graduated in 1980.

Contact

1224 N IDAHO ST
SUITE A
POST FALLS
ID
838548615

Tel: 2084578746

FAY ALLEN GOODALL PT Information

Npi 1730300518
Pac Id 4385544972
Professional Enrollment Id I20040110000159
Last Name GOODALL
First Name FAY
Middle Name ALLEN
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1980
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1224 N IDAHO ST
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City POST FALLS
State ID
Zip Code 838548615
Phone Number 2084578746
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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