Individual
DANA LYNN GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 W 7TH ST, HERMANN, MO 65041-1216
(573) 486-2116
Mailing address
1790 TSCHAPPLER RD, OWENSVILLE, MO 65066-2319
(573) 259-7351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2004004175
MO
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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