Individual
KATHLEEN MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2446 HIGHLAND AVE, FALL RIVER, MA 02720-4504
(508) 679-0011
Mailing address
15 HARCOURT ST, SWANSEA, MA 02777-1518
(508) 672-7503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4196
MA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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