Individual
SHANNON MARIE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
227 CENTERVILLE RD, WARWICK, RI 02886-4394
(401) 732-3332
(401) 739-0196
Mailing address
227 CENTERVILLE RD, WARWICK, RI 02886-4394
(401) 732-3332
(401) 739-0196
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT02867
RI
2251X0800X
Orthopedic Physical Therapist
PT02867
RI
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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