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Individual

PETER G GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
16611 S 40TH ST, STE 130, PHOENIX, AZ 85048-0562
(480) 706-1199
(480) 706-3999
Mailing address
9097 E DESERT COVE AVE, STE 110, SCOTTSDALE, AZ 85260-6279
(480) 551-4961
(480) 860-0356

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9410
AZ
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
08/16/2011
Last updated
02/24/2022
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