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NPI Code Detail

MEDICARE: MRS. JOANNA MARY GOLDIN PT

MEDICARE: MRS. JOANNA MARY GOLDIN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4027CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497721583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNA MARY GOLDIN PT
Provider Business Mailing Address
First Line : 8652 E OTERO PL
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-3317
Country : US
Telephone Number : 720-493-9123
Fax Number : 720-482-1345
Provider Business Practice Location Address
First Line : 7340 S ALTON WAY
Second Line : STE 11-D
City : CENTENNIAL
State : CO
Zip : 80112-2335
Country : US
Telephone Number : 720-493-1181
Fax Number : 720-493-1191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JOANNA MARY GOLDIN PT” Practice Location

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