Brock A Gorman, OT

NPI #1508103136 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1508103136
Entity Type: Individual
Name: Brock A Gorman, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 16, 2013
Last Updated: Jan 16, 2013

Practice Location

Address: 430 PENNSYLVANIA AVE
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-4464
Phone: (630) 545-7801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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