Individual
MS. TANYA TERESA GORRIARAN-GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117
NEIGHBORHOOD HEALTH
RI
01
—
232931
BCBS
RI
01
—
408272
BLUE CHIP
RI
01
—
4224
NEIGHBORHOOD HEALTH
RI
01
—
6400187
UNITED HEALTHCARE
RI
05
—
KC02260
—
RI
Enumeration date
11/15/2006
Last updated
07/14/2011
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