Provider Demographics
NPI:1588878003
Name:GOODMAN, STEVEN M (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:1708 E SIERRA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-1330
Mailing Address - Country:US
Mailing Address - Phone:602-354-7323
Mailing Address - Fax:632-877-1560
Practice Address - Street 1:10320 W MCDOWELL RD
Practice Address - Street 2:BUILDING H SUITE 8025
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-4863
Practice Address - Country:US
Practice Address - Phone:623-877-1130
Practice Address - Fax:602-877-1560
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ62482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic