Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1497841191 |
---|---|
Provider Name | Ms. Cheryl Rae Gooding |
First Address | Wst Palm Beach, FL 33412 |
Second Address | West Palm Beach, FL 33410-6400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |