Individual
MEGAN GORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR;/L
Contact information
Practice address
321 6TH ST NE, CHISHOLM, MN 55719-1287
(218) 254-5765
(218) 254-5767
Mailing address
321 6TH ST NE, CHISHOLM, MN 55719-1287
(218) 254-5765
(218) 254-5767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103844
MN
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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