Provider Demographics
NPI:1972831030
Name:GORCHS, THOMAS ALEXANDER (OTR)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ALEXANDER
Last Name:GORCHS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 PLOVER AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4347
Mailing Address - Country:US
Mailing Address - Phone:305-409-1728
Mailing Address - Fax:
Practice Address - Street 1:940 PLOVER AVE
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-4347
Practice Address - Country:US
Practice Address - Phone:305-409-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3700225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation