Individual
JESSICA GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
CARR 459 KM13.1, CALLE LAS UVAS INT., ISABELA, PR 00662
(787) 244-6853
Mailing address
PO BOX 2096, ISABELA, PR 00662-9096
(787) 244-6853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1359
PR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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