Individual
CAROLYN GOECKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROADWAY UNIT 28, BARNEGAT LIGHT, NJ 08006-1616
(973) 992-4580
Mailing address
PO BOX 252, BARNEGAT LIGHT, NJ 08006-0252
(973) 992-4580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00011400
NJ
Other
Enumeration date
09/27/2020
Last updated
09/28/2020
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