Tara Beth Gochenour, ATC/L
NPI #1891795407 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1891795407
- Entity Type
- Individual
- Name
- Tara Beth Gochenour, ATC/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC/L
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Apr 3, 2008
Practice Location
- Address
- 1336 HIGHWAY 54 W
- Address 2
- BLDG 500
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-4535
- Phone
- (770) 461-6142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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