NPI 1770045841

Mai Sue Gobert

Practitioner Physical Therapy Assistant Dacula, GA

Practice location

Address: 2784 James Henry Dr, Dacula, GA 30019-7554
Phone: (205) 260-2170

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA004218 (GA)

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Registry record

NPI: 1770045841
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2019
Record last updated: 5 Apr 2019

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.