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Individual

MARY E GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12214 SE MILL PLAIN BLVD, #101, VANCOUVER, WA 98684-6019
(360) 254-4040
Mailing address
23716 NE CANYON LOOP RD, BATTLE GROUND, WA 98604-5060

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
PT00005115
WA

Other

Enumeration date
04/06/2010
Last updated
04/06/2010
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