Individual
GEOFFREY GOIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20528 BOLAND FARM RD, GERMANTOWN, MD 20876-4021
(301) 916-0164
Mailing address
15018 SNOWDEN DR, SILVER SPRING, MD 20905-5661
(201) 213-6391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27679
MD
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27679
—
MD
Enumeration date
05/16/2018
Last updated
10/11/2021
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