Individual
PAUL P GORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C. ; P.T.A.
Contact information
Practice address
533 W COLUMBIA ST, EVANSVILLE, IN 47710-1617
(812) 759-3001
Mailing address
9400 SLATE RD, EVANSVILLE, IN 47720-8002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000651A
IN
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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