Individual
JORDYNE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 WRIGHTSTOWN SYKESVILLE RD, BUILDING C UNIT 15, WRIGHTSTOWN, NJ 08562-1530
(609) 316-0195
Mailing address
12 DORSET DR, VOORHEES, NJ 08043-3723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00757100
NJ
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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