Individual
DR. WALTER M GORACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, MBA, GCS
Contact information
Practice address
304 WEST MAIN STREET, SUITE 2 #308, AVON, CT 06001-4103
(860) 729-1196
Mailing address
304 WEST MAIN STREET, SUITE 2 #308, AVON, CT 06001-4103
(860) 729-1196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006095
CT
Other
Enumeration date
05/16/2011
Last updated
08/02/2024
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