Individual
OLIVIA CLAIRE GORHAM
Active
Individual
OLIVIA CLAIRE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1335632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1335632
PHYSICAL THERAPY LICENSE NUMBER
TX
Enumeration date
09/07/2020
Last updated
09/07/2020
Update your record
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