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John-Philip Goodman, DPT

Physical Therapist in Syracuse, NY. Individual provider (NPI-1).

NPI number1669135331
StatusActive
Last updated in NPPESOct 25, 2021

Details

NPI
1669135331
Entity type
Individual (NPI-1)
Name
John-Philip Goodman
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2021
Certification date
Oct 25, 2021
Last updated
Oct 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist047961NYYes

Practice location

171 Intrepid Ln
Syracuse, NY 13205-2548

Phone 315-437-4689

Mailing address

325 McClennan Dr
Fayetteville, NY 13066-1238

Phone 315-399-3805

Other practice locations

225 Wilkinson St
Syracuse, NY 13204-2456

Phone 315-399-3805

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