Individual
TERESA GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7772 N RUSHVILLE RD, CARTHAGE, IN 46115-9773
(317) 402-2228
Mailing address
7772 N RUSHVILLE RD, CARTHAGE, IN 46115-9773
(317) 402-2228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001973A
IN
Other
Enumeration date
08/28/2007
Last updated
07/10/2020
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