Individual
MR. MICHAEL THOMAS GOFF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
40 UNION CHURCH RD, MEADVILLE, MS 39653-8336
(601) 384-8179
(601) 384-3196
Mailing address
40 UNION CHURCH RD, MEADVILLE, MS 39653-8336
(601) 384-8179
(601) 384-3196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 4044
MS
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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