Individual
SUZANNE MAUREEN GOSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-4342
Mailing address
834 LINDEN RD, HARLAN, IA 51537-5406
(712) 235-2078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00813
IA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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