Individual
BRANDON GOULDING
Active
Individual
BRANDON GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04541975
—
NY
01
—
13767497
CAQH
—
Enumeration date
06/17/2014
Last updated
05/15/2020
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