Individual
REBECCA GOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 ROSCOE BLVD, VAN NUYS, CA 91406-1258
(818) 893-4426
Mailing address
6618 COUNTY ROAD 318, PALMYRA, MO 63461-2108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48988
CA
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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