Individual provider · Type 1 NPI

Theodore Alexander Goetz, OTR/L

Occupational Therapist · Fresh Meadows, NY

NPI number 1972170645 Active

Practice location

15910 71st Ave Apt 3A
Fresh Meadows, NY 11365-3023

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X025527 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1972170645

Theodore Alexander Goetz, OTR/L's National Provider Identifier is 1972170645, issued on Jun 9, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Jun 9, 2021.