Individual
MRS. WINONA ANN GOSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT.
Contact information
Practice address
56 S 9TH ST, EAST ALTON, IL 62024-1715
(618) 259-9434
Mailing address
56 S 9TH ST, EAST ALTON, IL 62024-1715
(618) 259-9434
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
227.005178
IL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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