Individual
MS. MARY ALISON GOESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-5000
Mailing address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070-026
WI
Other
Enumeration date
04/18/2009
Last updated
04/18/2009
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