Individual
HEATHER HELENA GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12174 N MERIDIAN ST, CARMEL, IN 46032-4578
(317) 610-0700
(317) 610-0702
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015438A
IN
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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