Provider Demographics
NPI:1790435592
Name:GOBIN, JOSHUA PAUL (PTA)
Entity Type:Individual
Prefix:MRS
First Name:JOSHUA
Middle Name:PAUL
Last Name:GOBIN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 OLD HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3063
Mailing Address - Country:US
Mailing Address - Phone:214-797-3725
Mailing Address - Fax:
Practice Address - Street 1:6421 MCKINNEY RANCH PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1860
Practice Address - Country:US
Practice Address - Phone:972-445-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2116668225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant