Doctor Name: | JOSEPH JOHN GODGES |
NPI Number: | 1083742613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | PT 12430 |
Business Practice Address: | 15200 W Sunset Blvd Suite 111 Pacific Palisades, CA - 902723619 |
Business Phone Number: | 3105739340 |
Business Fax Number: | 3105739328 |
Mailing Address: | 2109 Mount Calvary Rd, SANTA BARBARA |
State: | CA |
Postal Code: | 931052355 |
Phone Number: | 3103656470 |
Fax Number: | 8666441472 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT 12430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |