Individual
AMANDA JUNE GOECKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2815 DUSTIN RD, OREGON, OH 43616-3495
(419) 693-0676
Mailing address
1121 CARDINAL BAY DR, OREGON, OH 43616-3483
(419) 367-8319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018017
OH
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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