Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 18757 | CA |
NPI | 1366656217 |
---|---|
Provider Name | Dr. Sharon Lynn Gorman |
First Address | Oakland, CA 94609-3302 |
Second Address | Oakland, CA 94609-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 03/01/2022 |