Individual
ALISON LEE GOETGELUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019795
IL
225100000X
Physical Therapist
5501015495
MI
Other
Enumeration date
02/23/2011
Last updated
10/14/2014
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