Provider Demographics
NPI:1437255114
Name:POSADAS, GODAFREDA DELA CRUZ (PT)
Entity Type:Individual
Prefix:MRS
First Name:GODAFREDA
Middle Name:DELA CRUZ
Last Name:POSADAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5182 LENA DR
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2035
Mailing Address - Country:US
Mailing Address - Phone:562-826-5555
Mailing Address - Fax:
Practice Address - Street 1:5182 LENA DR
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2035
Practice Address - Country:US
Practice Address - Phone:562-826-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 23190225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist