Individual
MRS. MAI SUE GOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2784 JAMES HENRY DR, DACULA, GA 30019-7554
(205) 260-2170
Mailing address
2784 JAMES HENRY DR, DACULA, GA 30019-7554
(205) 260-2170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004218
GA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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