Individual
MAGGIE GOEDEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4141 PENNOCK ST, HOMER, AK 99603-7223
(620) 778-2443
Mailing address
4141 PENNOCK ST, HOMER, AK 99603-7223
(620) 778-2443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2795
AK
Other
Enumeration date
07/08/2014
Last updated
08/20/2014
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