Individual
DEBORAH LOIS GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15153
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52792505
BLUE CROSS BLUE SHIELD
MD
01
—
DA2862 P00046849
RAILROAD MEDICARE
MD
01
—
S9550002
BCBS FEDERAL
MD
Enumeration date
02/22/2007
Last updated
06/05/2012
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