Individual
CATHARINE MICHELLE GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
320 SW 25TH AVE, MINERAL WELLS, TX 76067-8244
(940) 328-6580
(940) 328-6550
Mailing address
1412 SE 14TH ST, MINERAL WELLS, TX 76067-8511
(817) 597-6253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044923
PTA LICENSE NUMBER
TX
Enumeration date
05/18/2007
Last updated
07/08/2007
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