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General NPI Number Information
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NPI Number | 1487643987
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Entity Type | Individual
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Provider Name | KATHLEEN GORMLEY OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 33 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1637
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Country | US
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Telephone | 475-828-0932
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Fax | 475-209-8054
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Provider Business Mailing Address
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Address Line | 1377 MOTOR PKWY STE 307
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City | ISLANDIA
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State | NY
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Zip | 11749-5258
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Country | US
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Telephone | 914-294-4050
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Fax | 631-760-8306
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 001906
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 001906
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License Number State | CT
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