Individual
JENNIFER GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1700 E BOGARD RD STE B203, WASILLA, AK 99654-6570
(907) 921-5088
Mailing address
1700 E BOGARD RD STE B203, WASILLA, AK 99654-6570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1129
MT
225X00000X
Occupational Therapist
Primary
122045
AK
225X00000X
Occupational Therapist
281458
OR
Other
Enumeration date
07/22/2013
Last updated
09/26/2024
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