Kevin Fitzgerald Goodgame MPT

NPI 1114131646 - Physical Therapist - 225100000X

NPI Details
NPI 1114131646
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4205 ARBOR GATES DR NE
ATLANTA GA, 30324-5615, US
Phone (213) 804-0727
Fax
Business Location
4205 ARBOR GATES DR NE
ATLANTA GA, 30324-5615, US
Phone (213) 804-0727
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT24148
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According to our database, Mr. Kevin Fitzgerald Goodgame MPT NPI is 1114131646, taxonomy code is 225100000X and license number is PT24148, license state is located at California. Kevin Fitzgerald Goodgame MPT physically located at 4205 Arbor Gates Dr Ne, Atlanta GA, 30324-5615. NPI Number Kevin Fitzgerald Goodgame MPT has the Individual type.

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1114131646 NPI number is provided on an as is basis without warranty of any kind. 1114131646 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Fitzgerald Goodgame MPT are for informational purposes only.