Individual
ABIGAIL ELLA GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 S PIKE RD, SARVER, PA 16055-9283
(724) 272-3844
Mailing address
129 MEADOWBROOK RD, RENFREW, PA 16053-1213
(724) 713-7328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016962
PA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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