Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDIE D GOEDRICH
ActiveMANDIE D GOEDRICH is a Occupational Therapist healthcare provider located in MOKANE, Missouri. NPI 1700932746 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOKANE, MO
Registration Details
- NPI Number
- 1700932746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.577380470498 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2003023232 (MO)
Practice Information
- Address
-
10135 STATE ROAD CMOKANE, MO, 650591213Browse MO providers · Browse ZIP 65059
- Phone
- 5736765225
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.