Individual
KATIE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 N 22ND ST, OZARK, MO 65721-5116
(417) 429-2412
Mailing address
2398 WEST SPRING DRIVE APT. C203, OZARK, MO 65721
(620) 215-9732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023035545
MO
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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