Elaine Mcgovern

NPI 1255692596 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1255692596
Gender Female
Enumeration Date 06/04/2012
Last Updated 06/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5535 S WILLIAMSON BLVD
SUITE 774
PORT ORANGE FL, 32128-8311, US
Phone (386) 756-4395
Fax (386) 944-7202
Business Location
5535 S WILLIAMSON BLVD
SUITE 774
PORT ORANGE FL, 32128-8311, US
Phone (386) 756-4395
Fax (386) 944-7202
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 6265
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According to our database, Elaine Mcgovern NPI is 1255692596, taxonomy code is 225200000X and license number is 6265, license state is located at Massachusetts. Elaine Mcgovern physically located at 5535 S Williamson Blvd, Port Orange FL, 32128-8311. NPI Number Elaine Mcgovern has the Individual type.

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1255692596 NPI number is provided on an as is basis without warranty of any kind. 1255692596 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Mcgovern are for informational purposes only.