Individual
DORIAN D GOREVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT, OCS
Contact information
Practice address
210 S BENNETT ST, SOUTHERN PINES, NC 28387-5402
(910) 692-8269
(910) 692-8479
Mailing address
210 S BENNETT ST, SOUTHERN PINES, NC 28387-5402
(910) 692-8269
(910) 692-8479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14843
NC
225100000X
Physical Therapist
PTH4040
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051524347
BCBS
AL
Enumeration date
11/14/2006
Last updated
05/05/2014
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