Doctor Name: | MS. LISA HOPE GOODFRIEND |
NPI Number: | 1003941592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, CWS, FCCWS |
License Number: | 19268 |
Business Practice Address: | 7th And Clayton Streets St. Frances Wound Care Center, Suite 601 Msb Wilmington, DE - 19805 |
Business Phone Number: | 3025758180 |
Business Fax Number: | 3025758185 |
Mailing Address: | 15 Bridle Path, WILMINGTON |
State: | DE |
Postal Code: | 198082740 |
Phone Number: | 4107079891 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1300X |
License Number: | 19268 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Electrophysiology, Clinical |
Taxonomy Definition: |