Individual
LAURA ANN GOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT; DPT
Contact information
Practice address
554 TWIN CITIES BLVD, NICEVILLE, FL 32578-1066
(850) 729-3325
Mailing address
1800 23RD ST, NICEVILLE, FL 32578-2955
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
WI
2255A2300X
Athletic Trainer
—
WI
Other
Enumeration date
01/24/2008
Last updated
04/25/2023
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