Individual provider · NPI-1

Michael Brandon Gorko, PTA

Physical Therapy Assistant · Santa Fe, NM

NPI number1912499526
StatusActive
Last updated in NPPESMay 31, 2018

Details

NPI
1912499526
Entity type
Individual (NPI-1)
Name
Michael Brandon Gorko
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2018
Last updated
May 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

Therapy Solutions LLC
333 West Cordova Rd Ste 100
Santa Fe, NM 87505-1852

Phone 505-984-9101 · Fax 505-984-8998

Mailing address

7232 Boxwood Ave. Ne
Albuquerque, NM 87113

Phone 505-259-8604

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