| NPI | 1932531472 |
|---|---|
| Former Name | ABIGAIL LYNN GORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21088) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2017-06-01 |