Individual
LIZA C GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7212
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18882
MA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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