National Provider Identifier
Jillian Marie Gorman, PT
Jillian Marie Gorman, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lackawanna, NY and a listed phone number of (716) 822-4781.
Profile Overview
- NPI
- 1851640072
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 04, 2012
- Last Updated
- October 10, 2016
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 822-4781
Mailing Address
- 1543 Center RD
- West Seneca, NY 14224-3288
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1851640072
- Entity Type
- Individual
- Last Name
- Gorman
- First Name
- Jillian
- Middle Name
- Marie
- Credential
- PT
- Mailing Street Address
- 1543 Center RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3288
- Mailing Country
- US
- Mailing Phone
- (716) 912-4495
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 822-4781
- Enumeration Date
- September 04, 2012
- Last Updated
- October 10, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)