Provider Demographics
NPI:1710020102
Name:GORMLEY, MARGARET F (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:F
Last Name:GORMLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ACKERS TER
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4159
Mailing Address - Country:US
Mailing Address - Phone:617-232-7404
Mailing Address - Fax:
Practice Address - Street 1:20 ACKERS TER
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4159
Practice Address - Country:US
Practice Address - Phone:617-232-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1978225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist