Individual
SAMMY H GOEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1420 W ASHLEY RD, BOONVILLE, MO 65233-2112
(660) 882-6115
Mailing address
5600 WATERFRONT DR N, COLUMBIA, MO 65202-9056
(573) 214-0779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000168663
MO
Other
Enumeration date
01/05/2009
Last updated
04/01/2011
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