Organization
LAPORTE REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER Y. GOFF P.T.A. (PHYSICAL THERAPISTS' ASSISTANT)
(219) 326-2397
Entity
Organization
Contact information
Practice address
1203 WASHINGTON ST, LA PORTE, IN 46350-3221
(219) 326-2397
Mailing address
1203 WASHINGTON ST, LA PORTE, IN 46350-3221
(219) 326-2397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001316A
IN
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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