Individual
NICOLE MARIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
600 HIGHLAND AVE # 2424, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE # 2424, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5364-26
WI
Other
Enumeration date
09/15/2011
Last updated
01/19/2018
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