Most Relevant Information
Provider Data
| NPI Number: | 1003414517 |
| Provider Name: | TRACY GORNOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 08402 |
Most Important Dates
| Enumeration Date: | 10/16/2020 |
| Last Updated: | 02/03/2023 |
Provider Practice Location
5312 CHASE LIONS WAY
COLUMBIA
MD
210445596
Practice Location Phone/Fax
| Phone: | 6095024322 |
| Fax: |
Provider Mailing Location
35 OVERLOOK CIR
GARNET VALLEY
PA
190602251
Provider Mailing Phone/Fax
| Phone: | 6095024322 |
| Fax: |