Individual
AMIE ROSE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63 013652
NY
Other
Enumeration date
12/29/2015
Last updated
12/30/2015
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