NPI 1164890273

Amy Elizabeth Goren, PTDPT

Practitioner Physical Therapist Brockton, MA

Practice location

Address: 110 Liberty St, Brockton, MA 02301-5521
Phone: (508) 941-7741
Mailing address: 77 Forge River Pkwy, Raynham, MA 02767-1491

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 21480 (MA)

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Registry record

NPI: 1164890273
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2015
Record last updated: 4 Sep 2015

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.