Jon Gouge, PTA
NPI #1053567370 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1053567370
- Entity Type
- Individual
- Name
- Jon Gouge, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 18, 2008
- Last Updated
- Aug 18, 2008
Practice Location
- Address
- 4390 BELLE OAKS DR
- Address 2
- SUITE 120
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29405-8559
- Phone
- (866) 571-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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