Individual
WENDY LYNN GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10513 CALAVERAS, WACO, TX 76708-5785
(254) 709-4532
Mailing address
10513 CALAVERAS, WACO, TX 76708-5785
(254) 709-4532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215618
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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