Ellen Carol Goebel, OTR | |
5232 Kyler Ave Ne, Albertville, MN 55301-4634 | |
(952) 223-2506 | |
Not Available |
Full Name | Ellen Carol Goebel |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 5232 Kyler Ave Ne, Albertville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265026595 | NPI | - | NPPES |
442937 | Other | NBCOT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 106450 (Minnesota) | Primary |
Provider Name | Kid Talk Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245315027 PECOS PAC ID: 7315190147 Enrollment ID: O20130103000370 |
Mailing Address | Practice Location Address |
---|---|
Ellen Carol Goebel, OTR 9346 Oak Ave, Waconia, MN 55387-9422 Ph: (952) 223-2506 | Ellen Carol Goebel, OTR 5232 Kyler Ave Ne, Albertville, MN 55301-4634 Ph: (952) 223-2506 |
Emily Ann Meehan, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5232 Kyler Ave Ne Ste A, Albertville, MN 55301 Phone: 952-223-2506 | |
Jordan Mauch, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5232 Kyler Ave Ne, Albertville, MN 55301 Phone: 952-223-2506 | |
Kallie Kathryn Neumer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5232 Kyler Ave Ne, Albertville, MN 55301 Phone: 952-223-2506 |