Individual
JASON GOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2131 ALPINE RD, LONGVIEW, TX 75601-3402
Mailing address
2600 WINDMILL LN, LONGVIEW, TX 75601-5954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097049
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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