| NPI | 1316187354 |
|---|---|
| Former Name | KATHLEEN GOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016937) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2022-08-22 |