Individual
JENNIFER L GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 ELM ST, SUITE 103, WORCESTER, MA 01609-1967
(508) 799-6538
(508) 799-5535
Mailing address
111 ELM ST, SUITE 103, WORCESTER, MA 01609-1967
(508) 799-6538
(508) 799-5535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18681
MA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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