Gordon Blake Simmons

NPI #1164287504 in Allen, Texas

Provider Information

NPI Number: 1164287504
Entity Type: Individual
Name: Gordon Blake Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 15, 2024
Last Updated: Feb 15, 2024

Practice Location

Address: 1101 RAINTREE CIR
City: Allen
State: Texas
ZIP Code: 75013-4922
Phone: (214) 509-0029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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