Individual
MR. CHRISTOPHER AARON GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001620
DE
225100000X
Physical Therapist
PT015446
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021749D48
MEDICARE
DE
01
—
057805VLZ
MEDICARE
PA
05
—
102404710-0001
—
PA
01
—
1164460341
DPCI
DE
05
—
1164460341
—
DE
01
—
1386530
HIGHMARK PABS
—
01
—
2076609000
IBC
—
01
—
30071081
KEYSTONE MERCY
PA
01
—
P00160856
RAILROAD MEDICARE
DE
01
—
P00692894
RAILROAD
—
Enumeration date
06/02/2006
Last updated
06/14/2010
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