Individual
ASHLEY GOGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 OLD WARREN ROAD, MONTICELLO, AR 71655-9304
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN ROAD, MONTICELLO, AR 71655-9304
(870) 367-1548
(870) 367-1383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1723
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390511721
—
AR
Enumeration date
04/10/2007
Last updated
07/08/2007
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