Most Relevant Information
Provider Data
| NPI Number: | 1003477753 |
| Provider Name: | CAROLYN MARIE GOFF MS OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OC016126 |
Most Important Dates
| Enumeration Date: | 06/24/2019 |
| Last Updated: | 06/24/2019 |
Provider Practice Location
1011 BERK RD
LEESPORT
PA
195338705
Practice Location Phone/Fax
| Phone: | 6103764841 |
| Fax: |
Provider Mailing Location
324 AMY CT APT 2
SHILLINGTON
PA
196071101
Provider Mailing Phone/Fax
| Phone: | 6107636464 |
| Fax: |