Individual
THOMAS MICHAEL GORMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 MAIN ST, ONEIDA, NY 13421-1648
(315) 363-9281
(315) 363-9286
Mailing address
701 LENOX AVE, ONEIDA, NY 13421-1500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009947
NY
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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