Mackenzie Coghlan Gooch

NPI #1104440007 in Spanish Fort, Alabama

Provider Information

NPI Number: 1104440007
Entity Type: Individual
Name: Mackenzie Coghlan Gooch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 5, 2020
Last Updated: Sep 15, 2021

Practice Location

Address: 8230 SPANISH FORT BLVD STE B
City: Spanish Fort
State: Alabama
ZIP Code: 36527-5246
Phone: (251) 385-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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