Individual
DEBRA GORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
18697 BAGLEY RD, CLEVELAND, OH 44130-3417
(330) 591-7829
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(330) 591-7829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12225
OH
225100000X
Physical Therapist
Primary
PT17881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885296100
—
FL
01
—
Y9869
BCBS
FL
Enumeration date
03/16/2007
Last updated
07/25/2012
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