Doctor Name: | AMANDA GOELZ |
NPI Number: | 1710311014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC |
License Number: | PT28470 |
Business Practice Address: | 1155 Malabar Rd Ne Palm Bay, FL - 329073245 |
Business Phone Number: | 3214095777 |
Business Fax Number: | |
Mailing Address: | 1525 Nona St Ne, PALM BAY |
State: | FL |
Postal Code: | 329072240 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/22/2013 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT28470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |