Individual
MATTHEW GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
(903) 589-5300
Mailing address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091426
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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