Brianna Elizabeth Gaughan

NPI #1457846792 in Godfrey, Illinois

Provider Information

NPI Number: 1457846792
Entity Type: Individual
Name: Brianna Elizabeth Gaughan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 28, 2018
Last Updated: Jun 28, 2018

Practice Location

Address: 1000 AIRPORT RD
City: Godfrey
State: Illinois
ZIP Code: 62035-2929
Phone: (618) 407-6765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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