Individual
ALYSSA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 E BROADWAY ST # 122, OVIEDO, FL 32765-8597
(407) 359-5693
(407) 792-5693
Mailing address
112 ELDERWOOD ST, WINTER SPRINGS, FL 32708-3416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25225
FL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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