Individual
JOANNA ALEXANDRA GOCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
114 3RD ST SE, FORT WALTON BEACH, FL 32548-5401
(850) 243-6134
Mailing address
59 TWAIN TRL, FREEPORT, FL 32439-2294
(215) 431-6141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28892
FL
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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