Individual
MEGAN MARIE GOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 529-4525
Mailing address
91-1063 OANIANI ST UNIT 3E, KAPOLEI, HI 96707-2615
(706) 615-1630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1818
HI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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