Provider Demographics
NPI:1568776573
Name:DINAN, JULET GOODWIN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JULET
Middle Name:GOODWIN
Last Name:DINAN
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:1550 ROUTE 488
Mailing Address - Street 2:WAYNE-FINGER LAKES BOCES, C/O MIDLAKES MIDDLE SCHOOL
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14456-9308
Mailing Address - Country:US
Mailing Address - Phone:315-548-6631
Mailing Address - Fax:315-548-6639
Practice Address - Street 1:1550 ROUTE 488
Practice Address - Street 2:WAYNE-FINGER LAKES BOCES, C/O MIDLAKES MIDDLE SCHOOL
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14456-9308
Practice Address - Country:US
Practice Address - Phone:315-548-6631
Practice Address - Fax:315-548-6639
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
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Provider Licenses
StateLicense IDTaxonomies
NY72242251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics