Individual
DR. SCOTT GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7455 VILLAGE DR, LINO LAKES, MN 55014
(651) 717-3480
Mailing address
9775 EGRET BLVD, COON RAPIDS, MN 55433
(612) 759-7716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9763
MN
2251X0800X
Orthopedic Physical Therapist
9763
MN
Other
Enumeration date
08/07/2015
Last updated
08/31/2018
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