Provider Demographics
NPI:1639224520
Name:GOSE, JOHN C (PT, MS, OCS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:C
Last Name:GOSE
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Gender:M
Credentials:PT, MS, OCS
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Mailing Address - Street 1:4 OAKRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3435
Mailing Address - Country:US
Mailing Address - Phone:302-234-4223
Mailing Address - Fax:610-738-2485
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-738-2480
Practice Address - Fax:610-738-2485
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT005297L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic