Provider Demographics
NPI:1669340345
Name:GOTZKOWSKY, ANNABELLE LAYNE
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:LAYNE
Last Name:GOTZKOWSKY
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 1:287 AUDUBON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4123
Mailing Address - Country:US
Mailing Address - Phone:504-957-4025
Mailing Address - Fax:
Practice Address - Street 1:287 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4123
Practice Address - Country:US
Practice Address - Phone:504-957-4025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer