Individual provider · Type 1 NPI

Jon Gouge, PTA

Physical Therapy Assistant · North Charleston, SC

NPI number 1053567370 Active

Practice location

4390 Belle Oaks Dr, Suite 120
North Charleston, SC 29405-8559

Call (866) 571-2700 Map

Fax (877) 571-2124

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2233 (SC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053567370

Jon Gouge, PTA's National Provider Identifier is 1053567370, issued on Aug 18, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in North Charleston, SC. The record was last updated on Aug 18, 2008.