Desiree Goodman, M.S.P.T., D.P.T.

NPI #1205185063 in Sayville, New York

Provider Information

NPI Number: 1205185063
Entity Type: Individual
Name: Desiree Goodman, M.S.P.T., D.P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.S.P.T., D.P.T.
Enumeration Date: Sep 6, 2012
Last Updated: Sep 6, 2012

Practice Location

Address: 108 GREENE AVE
City: Sayville
State: New York
ZIP Code: 11782-2723
Phone: (631) 256-6038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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