Individual
COURTNEY GOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1509 TERRACE, MAGNOLIA, AR 71753-2076
(870) 904-8005
Mailing address
1509 TERRACE, MAGNOLIA, AR 71753-2076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2523
AR
Other
Enumeration date
07/26/2011
Last updated
10/04/2011
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