Individual
DANIELLE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(240) 457-1840
Mailing address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(240) 457-1840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26942
MD
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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