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Individual

CLINTON GOUVEIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11720 MEDLOCK BRIDGE RD STE 550, JOHNS CREEK, GA 30097-2505
(678) 364-7195
(678) 681-9034
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012004
GA

Other

Enumeration date
08/05/2015
Last updated
12/17/2019
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