Individual provider · Type 1 NPI

Brock A. Gorman, OT

Occupational Therapist · Glen Ellyn, IL

NPI number 1508103136 Active

Practice location

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464

Call (630) 545-7801 Map

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056009986 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1508103136

Brock A. Gorman, OT's National Provider Identifier is 1508103136, issued on Jan 16, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jan 16, 2013.