| Mr Thomas Lee Goodrich Jr, PT | |
|
4329 Mahoning Ave Nw, Warren, OH 44483-1974 | |
| (330) 702-0110 | |
| Not Available |
| Full Name | Mr Thomas Lee Goodrich Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4329 Mahoning Ave Nw, Warren, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831394907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 008879 (Ohio) | Secondary |
| 225100000X | Physical Therapist | PT 012992L (Pennsylvania) | Primary |
| Provider Name | Nbj Outpatient Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720250921 PECOS PAC ID: 9537248554 Enrollment ID: O20090928000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Lee Goodrich Jr, PT 510 W Main St Ste B, Canfield, OH 44406-1454 Ph: (330) 702-0110 | Mr Thomas Lee Goodrich Jr, PT 4329 Mahoning Ave Nw, Warren, OH 44483-1974 Ph: (330) 702-0110 |
Matthew Robert Creed, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Tod Ave Nw, Warren Va Clinic, Warren, OH 44485 Phone: 330-392-0311 | |
Tu-dor Therapies, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451 Mahoning Ave Nw Ste A, Warren, OH 44483 Phone: 330-372-0207 Fax: 330-372-0206 | |
Susan L Booth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451a Mahoning Ave, Warren, OH 44483 Phone: 330-847-0919 Fax: 330-847-0728 | |
Mrs. Charlene Campbell Pallante, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 E Market St, Warren, OH 44481 Phone: 330-399-2221 Fax: 330-394-0122 | |
Katherine Ann Love, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 140 Highland Terrace Blvd, Warren, OH 44484 Phone: 330-652-8733 | |
Dawn Tellman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2614 E Market St, Warren, OH 44483 Phone: 330-394-8282 | |
Jonnah Anderson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 320 E Market St, Warren, OH 44481 Phone: 330-399-2221 Fax: 330-394-0122 |