JACK GOFORTH

PHOENIX, AZ
NPI1922957844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  LPT-034625)
Enumeration Date2026-01-23
Last Update Date2026-01-23
Business Address
JACK GOFORTH DPT
9321 W THOMAS RD STE 205
PHOENIX, AZ 85037-3392
Phone number: 866-974-2673
Mailing Address
JACK GOFORTH DPT
13310 N PLAZA DEL RIO BLVD UNIT 2150
PEORIA, AZ 85381-0017
Phone number:
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