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1972170645
THEODORE ALEXANDER GOETZ
FRESH MEADOWS, NY
NPI
1972170645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 025527)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
THEODORE ALEXANDER GOETZ OTR/L
15910 71ST AVE APT 3A
FRESH MEADOWS, NY 11365-3023
Phone number: 646-369-0910
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Mailing Address
THEODORE ALEXANDER GOETZ OTR/L
15910 71ST AVE APT 3A
FRESH MEADOWS, NY 11365-3023
Phone number: 646-369-0910
Copy
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