Individual
TERESA SHANNON GOOTEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 LAYTHAM PIKE, MAYSLICK, KY 41055-8930
(606) 763-6245
Mailing address
5330 LAYTHAM PIKE, MAYSLICK, KY 41055-8930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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