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NPI Code Detail

MEDICARE: DONALD LEE GOSS PT

MEDICARE:   DONALD LEE GOSS  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP11805SC

General Provider Information

NPI Number : 1114049616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD LEE GOSS PT
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT DRIVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8531
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT DRIVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-8362
Country : US
Telephone Number : 910-907-8531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 03/07/2025

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Directions to “ DONALD LEE GOSS PT” Practice Location

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