Doctor Name: | CANDICE LARAINE GOCH |
NPI Number: | 1669725800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT007903 |
Business Practice Address: | 6478 Putnam Ford Ste. 126 Woodstock, GA - 30189 |
Business Phone Number: | 7704857411 |
Business Fax Number: | 7708818506 |
Mailing Address: | 6478 Putnam Ford Dr, Ste. 126 WOODSTOCK |
State: | GA |
Postal Code: | 301896984 |
Phone Number: | 7704857411 |
Fax Number: | 7708818506 |
NPI Enumeration Date: | 10/25/2012 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |