| NPI | 1235274937 |
|---|---|
| Former Name | ANGELA MARIE GOECKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 4150) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5525) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2005028244) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056008219) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-03-03 |