Individual
SUSAN CAROL GOERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11906 CHEVIOTT HILL LN, CHARLOTTE, NC 28213-3898
(704) 454-7768
Mailing address
11906 CHEVIOTT HILL LN, CHARLOTTE, NC 28213-3898
(704) 454-7768
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5298
NC
Other
Enumeration date
06/25/2007
Last updated
08/14/2008
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