Goodell, Lara

Goodell, Lara is an individual health care provider with primary practice located at 297 Lake Havasu Ave S Ste 102 , Lake Havasu City AZ 86403-6526. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Goodell, Lara can be contacted via phone (928) 453-0501.

Contact Information

Primary practice address
297 Lake Havasu Ave S Ste 102 Lake Havasu City AZ 86403-6526
Phone: (928) 453-0501
Fax: (928) 453-0502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 9926A Arizona

Profile Details

NPI number 1215276217
LBN Legal business name Goodell, Lara
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2013
Last updated Feb 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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