| NPI | 1962795161 |
|---|---|
| Former Name | AMY KATHLEEN GOETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2011021975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04363) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-03-11 |