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Individual
STEVEN T GOUGH
Active
Individual
STEVEN T GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MS, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005207L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14511
ELDER HEALTH
PA
01
—
1537885
GATEWAY HEALTH PLAN
PA
01
—
654854
HIGHMARK
PA
Enumeration date
11/03/2006
Last updated
07/08/2007
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