Larry Christopher Gough, PTA

NPI #1598247298 in Waxahachie, Texas

Provider Information

NPI Number
1598247298
Entity Type
Individual
Name
Larry Christopher Gough, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PTA
Enumeration Date
Aug 30, 2018
Last Updated
Aug 30, 2018

Practice Location

Address
3650 S INTERSTATE 35 E
State
Texas
ZIP Code
75165
Phone
(972) 937-7320

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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