Ellen Carol Goebel, OTR
Occupational Therapist in Albertville, MN. Individual provider (NPI-1).
NPI number1265026595
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1265026595
- Entity type
- Individual (NPI-1)
- Name
- Ellen Carol Goebel
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- Feb 26, 2021
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 106450 | MN | Yes |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Ellen Carol Swedzinski (Former Name)
Practice location
5232 Kyler Ave NeAlbertville, MN 55301-4634
Phone 952-223-2506
Mailing address
9346 Oak AveWaconia, MN 55387-9422
Phone 952-223-2506
Other practice locations
15265 Minnetonka Blvd
Minnetonka, MN 55345-1510
Minnetonka, MN 55345-1510
Phone 952-223-2506
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