Individual
MRS. KEARA EILEEN GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
25 HUDSON RD, BELLEROSE VILLAGE, NY 11001-4104
(516) 946-9826
Mailing address
25 HUDSON RD, BELLEROSE VILLAGE, NY 11001-4104
(516) 946-9826
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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