Laura Gordon

NPI #1114398344 in Carpentersville, Illinois

Provider Information

NPI Number: 1114398344
Entity Type: Individual
Name: Laura Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 14, 2015
Last Updated: Oct 14, 2015

Practice Location

Address: 6651 MAJESTIC WAY
City: Carpentersville
State: Illinois
ZIP Code: 60110-3438
Phone: (224) 357-8398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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