SearchSouth CarolinaPhysical Therapy Assistant

Jon Gouge, PTA

NPI 1053567370 · on the registry since 2008

Practice

Address
4390 Belle Oaks Dr
Suite 120
North Charleston, SC 29405
Phone
(866) 571-2700
Fax
(877) 571-2124
Clinicians at this address
42

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina