Individual provider · Type 1 NPI
Jillian Gorman, PTA
Rehabilitation Clinic/Center · Raleigh, NC
NPI number
1932772860
Active
Practice location
4911 Tall Timber Dr Apt 104
Raleigh, NC 27612-6023
Other practice locations
- 4 Hazel Ave, Naugatuck, CT 06770-4706 · (203) 723-1456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | 2033 (CT) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1932772860
Jillian Gorman, PTA's National Provider Identifier is 1932772860, issued on Jul 19, 2021. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 19, 2021.