Individual
MICHAELA E GOOSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3119 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4199
(308) 384-2333
Mailing address
320 SUNFLOWER CIR, GRAND ISLAND, NE 68803-3059
(308) 390-5925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1186
NE
Other
Enumeration date
08/12/2020
Last updated
08/20/2020
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