Individual
WILMA JOYCE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 GERMANTOWN PIKE, SUITE 20, PLYMOUTH MEETING, PA 19462-7401
(610) 270-9650
Mailing address
920 GERMANTOWN PIKE, SUITE 20, PLYMOUTH MEETING, PA 19462-7401
(610) 270-9650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC000600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA284505
NBCOT, INC.
—
01
—
OC000600L
STATE OF PA
PA
Enumeration date
09/24/2007
Last updated
09/24/2007
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