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NPI Code Detail

MEDICARE: LAURA GOODLING PT

MEDICARE: LAURA GOODLING PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP16934NC

General Provider Information

NPI Number : 1194263699
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GOODLING PT
Provider Business Mailing Address
First Line : 350 NEW FIDELITY CT
Second Line :
City : GARNER
State : NC
Zip : 27529-2665
Country : US
Telephone Number : 919-258-2714
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 7880 ALEXANDER PROMENADE PL STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27617-1918
Country : US
Telephone Number : 919-583-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2017
Last Update Date : 05/04/2020

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Directions to “ LAURA GOODLING PT” Practice Location

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