Individual
MICHAEL J GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17300 NORTH OUTER FORTY, SUITE 205, CHESTERFIELD, MO 63005-1361
(636) 728-1777
(636) 728-1793
Mailing address
17300 NORTH OUTER FORTY RD, SUITE 205, CHESTERFIELD, MO 63005-1361
(636) 728-1777
(636) 728-1793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103326
MO
Other
Enumeration date
07/09/2006
Last updated
10/28/2010
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