NPI 1003077660

Dante Lemar Gorham, PT

Practitioner Physical Therapist Bowie, MD

Practice location

Address: 4000 Mitchellville Rd STE A400, Bowie, MD 20716-3104
Phone: (301) 805-7110
Mailing address: 2021 Quebec St, Adelphi, MD 20783-2128

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 22499 (MD)

Other Physical Therapist providers in Maryland →

Registry record

NPI: 1003077660
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2008
Record last updated: 18 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.