Individual
MRS. SARAH ELIZABETH GORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
50 NICHOLS ST, HEBRON, IN 46341-8774
(219) 996-5695
Mailing address
9345 W STATE ROAD 8, LA CROSSE, IN 46348-9584
(219) 754-1024
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
36000961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3600961A
ATHLETIC TRAINER
IN
Enumeration date
06/18/2007
Last updated
07/08/2007
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