TANNER JAMES GOODEN

WORLAND, WY
NPI1699204370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE011221)
Enumeration Date2017-06-07
Last Update Date2017-06-07
Business Address
TANNER JAMES GOODEN PTA
1901 HOWELL AVE
WORLAND, WY 82401-3733
Phone number: 307-347-4285
Mailing Address
TANNER JAMES GOODEN PTA
222 S HIGHLAND ST
DU BOIS, PA 15801-2077
Phone number: 814-771-5619
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