Individual
JESSICA DREW O'GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Mailing address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7260 PT
MA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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