Search › North Carolina › 208100000X
Jay Goodman, PT, SCS
NPI 1023568680 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1603 Hillsborough St
1603 Hillsborough Street
Raleigh, NC 27605 - Phone
- (919) 350-3800
- Fax
- (919) 838-5379
- Organisation at this address
- The Young Men'S Christian Association Of The Triangle Area, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina