Provider Demographics
NPI:1508592510
Name:GOLDRING, JOAN M
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:M
Last Name:GOLDRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:MARTELLI
Other - Last Name:GOLDRING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT, MMP, RT, RYT
Mailing Address - Street 1:222 PHILADELPHIA PIKE STE 1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-3166
Mailing Address - Country:US
Mailing Address - Phone:302-302-5842
Mailing Address - Fax:302-543-4260
Practice Address - Street 1:222 PHILADELPHIA PIKE STE 1
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-3166
Practice Address - Country:US
Practice Address - Phone:302-302-5842
Practice Address - Fax:302-543-4260
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT0003362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist