Individual
HANNAH RENEE GORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
243 E 3RD PL, BYERS, CO 80103-9755
(937) 631-3927
Mailing address
243 E 3RD PL, BYERS, CO 80103-9755
(937) 631-3927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015260
CO
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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