Mary Gough, P.T

NPI 1881832822 · on the registry since 2009

Practice

Address: 42536 Hayes Rd Ste 100
Clinton Township, MI 48038
Phone: (586) 286-9644
Fax: (586) 286-9647
Organisation at this address: Universal Providers Llc
S & S Professionals, Llc
S & S Professionals, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-29

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 Michigan