Individual
ELISSA MARIE GOETZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
173 ESSEX ST FL 1, SWAMPSCOTT, MA 01907-1150
(781) 586-0550
(781) 586-0125
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23503
MA
225100000X
Physical Therapist
PT012610
GA
Other
Enumeration date
05/11/2017
Last updated
02/28/2018
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