Individual
MICHAELLA MARIE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2600 ARBORETUM DR, BELLEVUE, NE 68005-3501
(402) 293-4032
Mailing address
5120 WEBSTER ST, OMAHA, NE 68132-2242
(402) 689-1191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47600515869
—
NE
Enumeration date
08/18/2017
Last updated
03/19/2024
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