Individual
ABBY ROSE GOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAST N 3RD ST, SHELBYVILLE, IL 62565
(217) 774-2111
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057006122
IL
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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