Provider Demographics
NPI:1952357618
Name:SAY, GODFREY CHAN (PT, MPT, PMA-CPT)
Entity Type:Individual
Prefix:MR
First Name:GODFREY
Middle Name:CHAN
Last Name:SAY
Suffix:
Gender:M
Credentials:PT, MPT, PMA-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CORPORATE DRIVE
Mailing Address - Street 2:UNIT #919
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1118
Mailing Address - Country:US
Mailing Address - Phone:949-973-2637
Mailing Address - Fax:
Practice Address - Street 1:2000 CORPORATE DRIVE
Practice Address - Street 2:UNIT #919
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1118
Practice Address - Country:US
Practice Address - Phone:949-973-2637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29283225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics