Individual
CAROLYN MARIE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
324 AMY CT APT 2, SHILLINGTON, PA 19607-1101
(610) 763-6464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016126
PA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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