SAMUEL JOSEPH GOUGH

MELBOURNE, FL
NPI1629317516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA14486)
Enumeration Date2013-02-12
Last Update Date2013-02-12
Business Address
Mr. SAMUEL JOSEPH GOUGH PTA
3033 SARNO RD
MELBOURNE, FL 32934-7229
Phone number: 321-242-6812
Mailing Address
Mr. SAMUEL JOSEPH GOUGH PTA
825 ARTHUR ST SE
PALM BAY, FL 32909-3756
Phone number: 321-514-5129
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