Greg Scott Gorham, PTA

NPI #1780165928 in Converse, Texas

Provider Information

NPI Number
1780165928
Entity Type
Individual
Name
Greg Scott Gorham, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 26, 2018
Last Updated
Aug 26, 2018

Practice Location

Address
7700 MESQUITE PASS
State
Texas
ZIP Code
78109-2461
Phone
(210) 650-0551

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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