Individual
HEIDI GOELZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21393 NOVAK AVE N, SCANDIA, MN 55073-9451
(651) 433-4736
Mailing address
21393 NOVAK AVE N, SCANDIA, MN 55073-9451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101079
MN
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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