Individual
BETH GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
3075 WOLF RD UNIT 29, WESTCHESTER, IL 60154-5622
(708) 223-8011
Mailing address
3075 WOLF RD UNIT 29, WESTCHESTER, IL 60154-5622
(708) 223-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013425
IL
Other
Enumeration date
05/13/2010
Last updated
12/23/2019
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