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Jillian Gorman, PTA
Rehabilitation Clinic/Center in Raleigh, North Carolina
NPI 1932772860

Jillian Gorman is a Rehabilitation Clinic/Center based in Raleigh, NC and is specialized in Rehabilitation. Jillian Gorman practices in Raleigh, NC and has the professional credentials of PTA. The NPI Number for Jillian Gorman is 1932772860 and holds a License No. 2033 (North Carolina).

The current practice location address for Jillian Gorman is 4911 Tall Timber Dr Apt 104, Raleigh, NC and can be reached out via phone at 203-560-3380.

Location: 4911 Tall Timber Dr Apt 104, Raleigh, NC, 27612-6023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932772860
Provider Name
Jillian Gorman
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
4911 Tall Timber Dr Apt 104, Raleigh, NC, 27612-6023
Phone Number
203-560-3380
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4911 Tall Timber Dr Apt 104
City
Raleigh
State
North Carolina
Zip
27612-6023
Phone Number
203-560-3380
Fax Number
person
Provider Business Mailing Address Details
Address
4911 Tall Timber Dr Apt 104
City
Raleigh
State
North Carolina
Zip
27612-6023
Phone Number
203-560-3380
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
2033 (Connecticut)
Definition
Definition to come...
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