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Individual

MS. LORETTA M GORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
Mailing address
28286 RIVER RD, SEAFORD, DE 19973-3032
(302) 530-7111

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000553
DE
225200000X
Physical Therapy Assistant
TE006974
DE

Other

Enumeration date
05/19/2006
Last updated
05/12/2009
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