Individual ProviderKathleen GormanOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, Palo Alto, CA 94304(650) 493-5000PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Gorman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1790222412Provider TypeIndividualFull NameGorman, KathleenTitleDr.CredentialOTD, OTR/LGenderFemaleSole ProprietorNoEnumeration Date1/20/2017Last Updated1/20/2017Contact InformationPractice LocationPractice Address3801 Miranda Ave, Palo Alto, CA 94304Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address3801 Miranda Ave, Va Palo Alto Health Care System, Palo Alto, CA 94304Phone(650) 493-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOTR2854Arkansas