| NPI | 1689199523 |
|---|---|
| Former Name | KAREN GOEDDERTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 201563) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211640) |
| 224Z00000X Occupational Therapy Assistant (Licence: AK 2214) | |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2018-11-09 |