Tanya M Goeller, PTA

NPI #1174720650 in South Bend, Indiana

Provider Information

NPI Number: 1174720650
Entity Type: Individual
Name: Tanya M Goeller, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1950 RIDGEDALE RD
City: South Bend
State: Indiana
ZIP Code: 46614-2243
Phone: (574) 291-6722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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