Individual
MS. SUZANNE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
19 ELM ST, MONTCLAIR, NJ 07042-3451
(973) 798-6800
(973) 798-6801
Mailing address
637 WYCKOFF AVE, UNIT 364, WYCKOFF, NJ 07481-1438
(973) 798-6800
(973) 798-6801
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01417900
NJ
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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