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Individual

ARI DAVID GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1295 E FLORENCE BLVD STE 1-3, CASA GRANDE, AZ 85122-4277
(520) 494-3058
(520) 214-5059
Mailing address
790 REMINGTON BLVD STE 220, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6838
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113061
MEDICARE TYPE B
AZ
05
950502
AZ
Enumeration date
08/24/2006
Last updated
04/12/2024
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