NPI 1053567370

Jon Gouge, PTA

Practitioner Physical Therapy Assistant North Charleston, SC

Practice location

Address: 4390 Belle Oaks Dr Suite 120, North Charleston, SC 29405-8559
Phone: (866) 571-2700
Fax: (877) 571-2124

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2233 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1053567370
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2008
Record last updated: 18 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.