Provider Demographics
NPI:1205887551
Name:GORMAN, JULIA CATHERINE (PT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CATHERINE
Last Name:GORMAN
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 1:99 WOLF CREEK BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4968
Mailing Address - Country:US
Mailing Address - Phone:302-734-8000
Mailing Address - Fax:302-734-0102
Practice Address - Street 1:99 WOLF CREEK BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4968
Practice Address - Country:US
Practice Address - Phone:302-734-8000
Practice Address - Fax:302-734-0102
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00015022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP00464Medicare UPIN
DEG02164E02Medicare ID - Type Unspecified