TANYA M GOELLER

SOUTH BEND, IN
NPI1174720650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002369A)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- TANYA M GOELLER PTA
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
Mailing Address
-- TANYA M GOELLER PTA
814 W MISHAWAKA AVE
MISHAWAKA, IN 46545-6009
Phone number: 574-255-1206