Individual
MRS. KRISTA MICHELLE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2201 32ND ST, NORTHPORT, AL 35476-5230
(205) 339-5700
Mailing address
12777 LAKELAND HILLS DR, NORTHPORT, AL 35475-4202
(205) 330-1223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2326
AL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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