Individual
JED GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7226B WILLIAMSON RD, ROANOKE, VA 24019-4264
(540) 366-9245
Mailing address
2615 CORNWALLIS AVE SE, ROANOKE, VA 24014-3339
(919) 695-6554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210270
VA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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