HOLLY GOFORTH

TULSA, OK
NPI1528736667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2528)
Enumeration Date2021-09-02
Last Update Date2021-09-02
Business Address
HOLLY GOFORTH
8652 S PEORIA AVE
TULSA, OK 74132-2827
Phone number: 915-409-0157
Mailing Address
HOLLY GOFORTH
425 N ROSS ST
SAPULPA, OK 74066-3659
Phone number: