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1053048355
MARY KATHLEEN GORMAN
PHILADELPHIA, PA
NPI
1053048355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT030588)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
MARY KATHLEEN GORMAN
511 N BROAD ST
PHILADELPHIA, PA 19123-3230
Phone number: 215-923-6031
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Mailing Address
MARY KATHLEEN GORMAN
1341 TANGLEWOOD DR
NORTH WALES, PA 19454-3668
Phone number: 215-779-5939
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