Individual
ANGELA GOETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
313 W VILLA DUNES DR, NAGS HEAD, NC 27959-9237
(252) 256-1007
Mailing address
313 W VILLA DUNES DR, NAGS HEAD, NC 27959-9237
(252) 256-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136PE
BCBSNC
NC
05
—
7301631
—
NC
01
—
D9791
MEDCOST
NC
Enumeration date
01/26/2006
Last updated
06/04/2015
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