Dr. Scott Gorham, DPT
Physical Therapist in Lino Lakes, MN. Individual provider (NPI-1).
NPI number1831575299
StatusActive
Last updated in NPPESAug 31, 2018
Details
- NPI
- 1831575299
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Gorham
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2015
- Last updated
- Aug 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 9763 | MN | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 9763 | MN |
Practice location
7455 Village DrLino Lakes, MN 55014
Phone 651-717-3480
Mailing address
9775 Egret BlvdCoon Rapids, MN 55433
Phone 612-759-7716
Other practice locations
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All 13 Physical Therapist providers in Lino Lakes · All 181 providers in Lino Lakes
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