Individual
MICHAEL J GOTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1811 RHODE ISLAND AVE, ALIQUIPPA, PA 15001-4134
(724) 857-3249
Mailing address
1811 RHODE ISLAND AVE, ALIQUIPPA, PA 15001-4134
(724) 857-3249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001213A
PA
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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