Individual
TRACY GORNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 CHASE LIONS WAY, COLUMBIA, MD 21044-5596
(609) 502-4322
Mailing address
35 OVERLOOK CIR, GARNET VALLEY, PA 19060-2251
(609) 502-4322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08402
MD
Other
Enumeration date
10/16/2020
Last updated
02/03/2023
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