Provider Demographics
NPI:1447509310
Name:GOSSELIN, SARAH F
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:F
Last Name:GOSSELIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5534 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22834-2402
Mailing Address - Country:US
Mailing Address - Phone:703-477-9159
Mailing Address - Fax:
Practice Address - Street 1:5534 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:LINVILLE
Practice Address - State:VA
Practice Address - Zip Code:22834-2402
Practice Address - Country:US
Practice Address - Phone:703-477-9159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052071312251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports