Provider Demographics
NPI:1831485903
Name:GOLDSTEIN, DOUGLAS JOHN (DPT)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JOHN
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:7310 S ALTON WAY
Mailing Address - Street 2:#6L
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2334
Mailing Address - Country:US
Mailing Address - Phone:303-790-4495
Mailing Address - Fax:720-488-1988
Practice Address - Street 1:5801 S QUEBEC ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2003
Practice Address - Country:US
Practice Address - Phone:303-770-0870
Practice Address - Fax:303-770-0871
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2014-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO11266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist