Carrie Justina Gordon

NPI #1134511769 in Athens, Tennessee

Provider Information

NPI Number: 1134511769
Entity Type: Individual
Name: Carrie Justina Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 1204 FRYE ST
City: Athens
State: Tennessee
ZIP Code: 37303-3052
Phone: (423) 745-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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