Jared Paul Goughnour, PTA
NPI #1376836866 in Highspire, Pennsylvania
Provider Information
- NPI Number
- 1376836866
- Entity Type
- Individual
- Name
- Jared Paul Goughnour, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 17, 2011
- Last Updated
- May 17, 2011
Practice Location
- Address
- 524 2ND ST
- City
- Highspire
- State
- Pennsylvania
- ZIP Code
- 17034-1506
- Phone
- (717) 649-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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