Individual
MARIEL LEIGH GOETTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12400 PORTLAND AVE, BURNSVILLE, MN 55337-6868
(952) 898-5700
Mailing address
319 E 24TH ST, APT F34, MINNEAPOLIS, MN 55404-3690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104228
MN
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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