Provider Demographics
NPI:1821253337
Name:GOODIER, SYDNE STONE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SYDNE
Middle Name:STONE
Last Name:GOODIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8322 BELLONA AVE
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2065
Mailing Address - Country:US
Mailing Address - Phone:410-337-8847
Mailing Address - Fax:410-337-5189
Practice Address - Street 1:7801 YORK RD
Practice Address - Street 2:SUITE # 140
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7446
Practice Address - Country:US
Practice Address - Phone:410-337-4024
Practice Address - Fax:443-991-4582
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD24293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD24293OtherMARYLAND PT LICENSE