Organization
GOREHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER GORACK JR. DPT,GCS (PRESIDENT)
(860) 729-1196
Entity
Organization
Contact information
Practice address
304 WEST MAIN ST, SUITE 2 308, AVON, CT 06001
(860) 729-1196
Mailing address
304 WEST MAIN ST, SUITE 2 308, AVON, CT 06001
(860) 729-1196
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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