| Doctor Name: | CAROL JEAN GORA |
| NPI Number: | 1003998220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 30831462401 |
| Business Practice Address: | 1226 N Main St Tooele, UT - 840749540 |
| Business Phone Number: | 4358431311 |
| Business Fax Number: | 4358439846 |
| Mailing Address: | Po Box 307, BOUNTIFUL |
| State: | UT |
| Postal Code: | 840110307 |
| Phone Number: | 8887006907 |
| Fax Number: | 8012946917 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 30831462401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |