Doctor Name: | MARGARET IRENE GORES |
NPI Number: | 1013049287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2905 |
Business Practice Address: | 2305 N Glenisle Ave Apt B Durango, CO - 813014897 |
Business Phone Number: | 9707494936 |
Business Fax Number: | |
Mailing Address: | 2305 N Glenisle Ave Apt B, DURANGO |
State: | CO |
Postal Code: | 813014897 |
Phone Number: | 9707494936 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |