Individual
THOMAS E GOECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1628 ORIOLE DRIVE, HARTFORD, WI 53027
(414) 745-1059
Mailing address
1928 ORIOLE DRIVE, HARTFORD, WI 53027
(414) 745-1059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1118-019
WI
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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