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Olivia Claire Gorham, PT,DPT
Pediatric Physical Therapist in Georgetown, Texas
NPI 1497369466

Olivia Claire Gorham is a Pediatric Physical Therapist based in Austin, TX and is specialized in Pediatrics. Olivia Claire Gorham practices in Georgetown, TX and has the professional credentials of PT,DPT. The NPI Number for Olivia Claire Gorham is 1497369466 and holds a License No. 1335632 (Texas).

The current practice location address for Olivia Claire Gorham is 4402 Williams Dr Ste 115, Georgetown, TX and can be reached out via phone at 512-256-7627.

Location: 4402 Williams Dr Ste 115, Georgetown, TX, 78754-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497369466
Provider Name
Olivia Claire Gorham
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
4402 Williams Dr Ste 115, Georgetown, TX, 78754-5510
Phone Number
512-256-7627
Fax Number
Provider Enumeration Date
09/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1335632 01 TX PHYSICAL THERAPY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4402 Williams Dr Ste 115
City
Georgetown
State
Texas
Zip
78628-1388
Phone Number
512-256-7627
Fax Number
person
Provider Business Mailing Address Details
Address
4402 Williams Dr Ste 115
City
Georgetown
State
Texas
Zip
78628-1388
Phone Number
512-256-7627
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1335632 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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