Individual
ELLEN CAROL GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5232 KYLER AVE NE, ALBERTVILLE, MN 55301-4634
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106450
MN
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442937
NBCOT
—
Enumeration date
02/26/2021
Last updated
02/28/2024
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