# DANIEL MATTHEW GOLDSTEIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366780124
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT.10075 | SC | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 12/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1366780124 | — | NC |
| 05 | — | TH4332 | — | SC |