Most Relevant Information
Provider Data
| NPI Number: | 1003077660 |
| Provider Name: | DANTE LEMAR GORHAM PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 22499 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 04/18/2013 |
Provider Practice Location
4000 MITCHELLVILLE RD
STE A400
BOWIE
MD
207163104
Practice Location Phone/Fax
| Phone: | 3018057110 |
| Fax: |
Provider Mailing Location
2021 QUEBEC ST
ADELPHI
MD
207832128
Provider Mailing Phone/Fax
| Phone: | 3014343658 |
| Fax: |