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Organization
GOODWIN PELVIC PT PLLC
Active
Organization
GOODWIN PELVIC PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ELISE GOODWIN PT, DPT, PRPC (OWNER/ SINGLE-MEMBER)
(774) 232-3265
Entity
Organization
Contact information
Practice address
185 S BUCKHOUT ST, IRVINGTON, NY 10533
(774) 232-3265
Mailing address
185 S BUCKHOUT ST, IRVINGTON, NY 10533
(774) 232-3265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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