Most Relevant Information
Provider Data
| NPI Number: | 1003066721 |
| Provider Name: | WINONA ANN GOSSETT LMT. |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: | 227.005178 |
Most Important Dates
| Enumeration Date: | 09/30/2008 |
| Last Updated: | 09/30/2008 |
Provider Practice Location
56 S 9TH ST
EAST ALTON
IL
620241715
Practice Location Phone/Fax
| Phone: | 6182599434 |
| Fax: |
Provider Mailing Location
56 S 9TH ST
EAST ALTON
IL
620241715
Provider Mailing Phone/Fax
| Phone: | 6182599434 |
| Fax: |