Individual
PHYLLIS O'GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1511
(505) 277-0111
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1511
(505) 277-0111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2253
NM
Other
Enumeration date
04/24/2009
Last updated
09/26/2014
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