Carol Gordon, PT

NPI #1366581738 in Bloomfield, Connecticut

Provider Information

NPI Number: 1366581738
Entity Type: Individual
Name: Carol Gordon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 5, 2007
Last Updated: Aug 19, 2013

Practice Location

Address: 1 NORTHWESTERN DR
Address 2: SUITE101
City: Bloomfield
State: Connecticut
ZIP Code: 06002-3400
Phone: (860) 243-6571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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