IndividualActive
Amanda Goben
NPI 1760864334 · Developmental Therapist · Roodhouse, IL
Provider details
- NPI number
- 1760864334
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
457 E North St
Roodhouse, IL 62082-1130
Phone: (217) 491-0159
Approximate (ZIP-level) locationGet directions
Mailing address
457 E North Street
Roodhouse, IL 62082
Registry dates
- Enumerated
- 2015-06-19
- Last updated
- 2015-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.