NPI 1063857365

Nicole M Goehre, OTR

Practitioner Specialist Milwaukee, WI

Practice location

Address: 316 N Milwaukee St Suite 208, Milwaukee, WI 53202-5885
Phone: (414) 615-0665
Mailing address: 106 Columbia Ave, Waukesha, WI 53186-6336

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 5323-26 (WI)

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Registry record

NPI: 1063857365
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2013
Record last updated: 1 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.