Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED PAUL GOUGHNOUR, PTA
Active Sole ProprietorJARED PAUL GOUGHNOUR, PTA is a Occupational Therapist healthcare provider located in HIGHSPIRE, Pennsylvania. NPI 1376836866 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HIGHSPIRE, PA
Registration Details
- NPI Number
- 1376836866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2011 (15.271824448623 yrs)
- Last Updated
- May 17, 2011
- License
-
TEI001301 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 2ND STHIGHSPIRE, PA, 170341506Browse PA providers · Browse ZIP 17034
- Phone
- 7176490055
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.