Provider Demographics
NPI:1528689692
Name:GOETZ, JOY LOCICERO (OTR/L)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LOCICERO
Last Name:GOETZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1094
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0011
Mailing Address - Country:US
Mailing Address - Phone:015-146-8392
Mailing Address - Fax:
Practice Address - Street 1:RINGSTRASSE 35 #10
Practice Address - Street 2:
Practice Address - City:GLAN MUNCHWEILER
Practice Address - State:RHEINLAND PFALZ
Practice Address - Zip Code:66907
Practice Address - Country:DE
Practice Address - Phone:514-683-9231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist