Individual
COLE H GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(240) 457-1197
Mailing address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08567
MD
Other
Enumeration date
11/26/2018
Last updated
01/02/2019
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