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Individual

GENA R GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
720 MONTCLAIR RD, STE 200, BIRMINGHAM, AL 35213-1964
(205) 592-1486
(205) 592-1764
Mailing address
48 MEDICAL PARK DR, STE 255, BIRMINGHAM, AL 32235
(205) 838-3090
(205) 838-6783

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3393
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51524254
BCBS
AL
01
51527054
BCBS
AL
01
51528772
BCBS
AL
01
51528773
BCBS
AL
01
51528774
BCBS
AL
01
51528775
BCBS
AL
01
51528776
BCBS
AL
Enumeration date
05/18/2006
Last updated
08/29/2007
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