SearchIllinoisOccupational Therapy Assistant

Terry Goheen, COTA/L

NPI 1093094013 · on the registry since 2011 · sole proprietor

Practice

Address
15874 Medora St
Dow, IL 62022
Phone
(618) 885-5602

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois