Individual
MS. MICHAELA GOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
224 E SOUTH E ST, BROKEN BOW, NE 68822-2649
(308) 872-6421
Mailing address
1307 S G ST, BROKEN BOW, NE 68822-2333
(308) 750-2437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1379
NE
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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