Individual
MEAGAN GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 HIOAKS RD, RICHMOND, VA 23225-4018
(804) 320-1412
Mailing address
15530 COSBY VILLAGE AVE APT 313, CHESTERFIELD, VA 23832-2140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605602
VA
Other
Enumeration date
02/03/2021
Last updated
01/17/2024
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