Individual
KATHIE GOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(386) 756-4395
Mailing address
22 CARDINAL CIR, AIKEN, SC 29803-5904
(603) 340-0562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0481
NH
225200000X
Physical Therapy Assistant
Primary
2339
SC
225200000X
Physical Therapy Assistant
8495
MA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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