Jennifer Ann Gooley PTA

NPI 1386847804 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1386847804
Gender Female
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
94 MILITAY ST.
MADIGAN ESTATES
HOLTON ME, 04730, US
Phone (207) 227-8505
Fax
Business Location
PO BOX 16
BLAINE ME, 04734-0016, US
Phone (207) 227-8505
Fax
Toxanomy
Taxonomy Code 225200000X
License State Maine
License Number PA2712
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According to our database, Mrs. Jennifer Ann Gooley PTA NPI is 1386847804, taxonomy code is 225200000X and license number is PA2712, license state is located at Maine. Jennifer Ann Gooley PTA physically located at 94 Militay St., Holton ME, 04730. NPI Number Jennifer Ann Gooley PTA has the Individual type.

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1386847804 NPI number is provided on an as is basis without warranty of any kind. 1386847804 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ann Gooley PTA are for informational purposes only.