Individual
LAURA LYNNE GOULBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8272
(812) 476-0409
(812) 476-0409
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002881
KY
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
04/13/2020
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