Individual
MRS. KELI ELIZABETH GOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8136 ORCHARDVIEW DR, WASHINGTON, MI 48095-1344
(586) 383-0449
Mailing address
8136 ORCHARDVIEW DR, WASHINGTON, MI 48095-1344
(586) 383-0449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002430
MI
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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