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Liza M Goossens, PTA

Physical Therapy Assistant in Covington, TN. Individual provider (NPI-1).

NPI number1104151331
StatusActive
Last updated in NPPESOct 6, 2009

Details

NPI
1104151331
Entity type
Individual (NPI-1)
Name
Ms. Liza M Goossens
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2009
Last updated
Oct 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant4557TNYes

Practice location

765 Bert Johnston Ave
Covington, TN 38019-2414

Phone 901-475-0027

Mailing address

63 Comanche Dr
Millington, TN 38053-1015

Phone 901-262-1383

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All 6 Physical Therapy Assistant providers in Covington · All 422 providers in Covington

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