Individual
ALLYSON DREW GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1059 OWENDALE STREET, TROY, MI 48083
(248) 526-0110
(248) 680-9138
Mailing address
1059 OWENDALE, TROY, MI 48083
(248) 526-0110
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5201006955
MI
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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