Individual
MARIA JEAN GOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(608) 437-2400
Mailing address
7329 TIMBER LAKE TRL, #302, MADISON, WI 53719-3714
(715) 321-0616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
771 - 39
WI
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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