Individual
PAUL JOSEPH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12545 N SAGUARO BLVD, FOUNTAIN HILLS, AZ 85268-3857
(480) 837-1530
(480) 782-5213
Mailing address
14839 N ALAMOSA CIR, FOUNTAIN HILLS, AZ 85268-2508
(773) 350-0193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014517
AZ
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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