LAURA CARYN GOFORTH

FAYETTE, AL
NPI1528312352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  6167)
Enumeration Date2012-10-31
Last Update Date2012-10-31
Business Address
Mrs. LAURA CARYN GOFORTH LPTA
1653 TEMPLE AVE N
FAYETTE, AL 35555-1314
Phone number: 205-932-5966
Mailing Address
Mrs. LAURA CARYN GOFORTH LPTA
1603 RUTLEDGE LN
JASPER, AL 35503-6309
Phone number:
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