Individual
JILL GOEDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 236-5884
(308) 236-9621
Mailing address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
246
NE
Other
Enumeration date
11/12/2006
Last updated
11/30/2020
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