Individual
MARY KATHY GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-3000
Mailing address
2201 COLDSTREAM CT, MIAMISBURG, OH 45342-6402
(937) 266-3429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1880
OH
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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