Healthcare Provider Details

I. General information

NPI: 1528689692
Provider Name (Legal Business Name): JOY LOCICERO GOETZ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RINGSTRASSE 35 #10
GLAN MUNCHWEILER RHEINLAND PFALZ
66907
DE

IV. Provider business mailing address

CMR 402 BOX 1094
APO AE
09180-0011
US

V. Phone/Fax

Practice location:
  • Phone: 514-683-9231
  • Fax:
Mailing address:
  • Phone: 15-146-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: