Individual
RAYMOND GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 W BALTIMORE PIKE, MEDIA, PA 19063-6300
(610) 595-4969
Mailing address
6119 TACKAWANNA ST, PHILADELPHIA, PA 19135-3415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001016
PA
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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