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Individual

BRIAN GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10150 W NATIONAL AVE, SUITE 150, MILWAUKEE, WI 53227-2145
(800) 439-7012
Mailing address
10150 W NATIONAL AVE, MILWAUKEE, WI 53227-2145
(800) 439-7012

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0528
WY

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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