Individual
JACQUELINE JEAN MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Mailing address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1774
CO
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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