Tyler Gorman

NPI #1811776693 in Saint John, Indiana

Provider Information

NPI Number: 1811776693
Entity Type: Individual
Name: Tyler Gorman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 21, 2023
Last Updated: Sep 21, 2023

Practice Location

Address: 10033 WICKER AVE STE 7&8
City: Saint John
State: Indiana
ZIP Code: 46373-8776
Phone: (219) 213-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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