Leland T. Gough, DPT

NPI #1184013666 in Mchenry, Illinois

Provider Information

NPI Number: 1184013666
Entity Type: Individual
Name: Leland T. Gough, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jan 21, 2015
Last Updated: Oct 10, 2023

Practice Location

Address: 4119 W SHAMROCK LN
City: Mchenry
State: Illinois
ZIP Code: 60050-8268
Phone: (815) 398-9491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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