Individual
MADELINE MAYA GOUGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED ORTHOTIST
Contact information
Practice address
HOPE ORTHOTICS, LLC - ATTN: MAYA GOUGEON, LO, 230 SPRING HILL DRIVE, SUITE 335, SPRING, TX 77386-2388
(877) 297-8999
(877) 206-0482
Mailing address
HOPE ORTHOTICS, LLC - ATTN: MAYA GOUGEON, LO, 230 SPRING HILL DRIVE, SUITE 335, SPRING, TX 77386-2388
(877) 297-8999
(877) 206-0482
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995
LICENSED ORTHOTIST
TX
Enumeration date
07/08/2019
Last updated
07/08/2019
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