Individual
AMY ELIZABETH GOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 941-7741
Mailing address
77 FORGE RIVER PKWY, RAYNHAM, MA 02767-1491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21480
MA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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