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Search › Georgia › 225100000X

Clinton Gouveia, PT, DPT

NPI 1235515917 · on the registry since 2015 · sole proprietor

Practice

Address
11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097
Phone
(678) 364-7195
Fax
(678) 681-9034
Organisation at this address
Agilitas Usa, Inc
Dcc Optimum Investments, Inc
Premier Specialty Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-17

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 Georgia