MEDICARE: SARAH F GOSSELIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist	2305207131	VA

General Provider Information

NPI Number	:	1447509310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH F GOSSELIN

Provider Business Mailing Address
First Line	:	5534 GREEN HILL RD
Second Line	:
City	:	LINVILLE
State	:	VA
Zip	:	22834-2402
Country	:	US
Telephone Number	:	703-477-9159
Fax Number	:

Provider Business Practice Location Address
First Line	:	5534 GREEN HILL RD
Second Line	:
City	:	LINVILLE
State	:	VA
Zip	:	22834-2402
Country	:	US
Telephone Number	:	703-477-9159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	07/24/2024

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Directions to “ SARAH F GOSSELIN ” Practice Location

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