Individual
CHERYL ANN GOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2485
Mailing address
208 S 8TH ST, WEST NEWTON, PA 15089-1304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000377L
PA
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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