Goetz, Theodore Alexander

Goetz, Theodore Alexander is an sole proprietor health care provider with primary practice located at 15910 71St Ave Apt 3A , Fresh Meadows NY 11365-3023. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Goetz, Theodore Alexander can be contacted via phone (646) 369-0910.

Contact Information

Primary practice address
15910 71St Ave Apt 3A Fresh Meadows NY 11365-3023
Phone: (646) 369-0910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 025527 New York

Profile Details

NPI number 1972170645
LBN Legal business name Goetz, Theodore Alexander
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2021
Last updated Jun 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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