Jillian Marie Gorman, PT

NPI #1851640072 in Lackawanna, New York

Provider Information

NPI Number: 1851640072
Entity Type: Individual
Name: Jillian Marie Gorman, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 4, 2012
Last Updated: Oct 10, 2016

Practice Location

Address: 790 RIDGE RD
City: Lackawanna
State: New York
ZIP Code: 14218-1629
Phone: (716) 822-4781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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