Jordan Paul Gaston
NPI #1760066229 in Thompsons Station, Tennessee
Provider Information
- NPI Number
- 1760066229
- Entity Type
- Individual
- Name
- Jordan Paul Gaston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 11, 2021
- Last Updated
- May 11, 2021
Practice Location
- Address
- 1482 CHANNING DR
- State
- Tennessee
- ZIP Code
- 37179-2900
- Phone
- (318) 613-0294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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