Jerry G Couch, PTA

NPI #1083320642 in Venice, Florida

Provider Information

NPI Number: 1083320642
Entity Type: Individual
Name: Jerry G Couch, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 299 FAREHAM DR
City: Venice
State: Florida
ZIP Code: 34293-4477
Phone: (937) 824-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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