Individual
SAMANTHA MARIE GOSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
301 N MAIN ST, LAKE CITY, MI 49651-5102
(989) 899-7299
Mailing address
4694 WALL ST, SAGINAW, MI 48638-4567
(989) 751-3308
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83884
MI
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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