Individual
MR. IRA GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3333 REGIS BLVD, MAIL CODE G-4, DENVER, CO 80221-1154
(303) 458-4986
Mailing address
254 MARY BETH RD, EVERGREEN, CO 80439-4312
(303) 674-3872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1620
CO
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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