Goeller, Tanya M
Goeller, Tanya M is an individual health care provider with primary practice located at 1950 Ridgedale Rd , South Bend IN 46614-2243. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Goeller, Tanya M can be contacted via phone (574) 291-6722.Contact Information
Primary practice address
1950 Ridgedale Rd
South Bend IN 46614-2243
Phone: (574) 291-6722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 06002369A | Indiana |
Profile Details
| NPI number | 1174720650 |
|---|---|
| LBN Legal business name | Goeller, Tanya M |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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