Individual
TRACY GOSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 ALDERVILLE RD, WINFIELD, TN 37892-3644
(260) 467-3862
Mailing address
980 ALDERVILLE RD, WINFIELD, TN 37892-3644
(260) 467-3862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01965
MD
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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