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Individual

CANDICE LARAINE GOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
3233 S CHEROKEE LN BLDG 1000, WOODSTOCK, GA 30188-4461
(770) 485-7411
(770) 881-8506
Mailing address
3233 S CHEROKEE LN BLDG 1000, WOODSTOCK, GA 30188-4461
(770) 485-7411
(770) 881-8506

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007903
GA

Other

Enumeration date
10/25/2012
Last updated
03/30/2021
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