Individual
MRS. GINA M MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1003 EASTON RD, 105 CHATEAU, WILLOW GROVE, PA 19090-2027
(215) 659-7759
(215) 659-6658
Mailing address
1003 EASTON RD, 105 CHATEAU, WILLOW GROVE, PA 19090-2027
(215) 659-7759
(215) 659-6658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0073061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2281036000
BC BS PC KS
—
Enumeration date
03/27/2006
Last updated
02/10/2015
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