Individual
NICOLE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1909 KNICKERBOCKER RD, SAN ANGELO, TX 76904-5523
(325) 213-4420
Mailing address
120 MEDINA ST, SAN ANGELO, TX 76905-7728
(402) 910-9294
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2185587
TX
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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