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Organization
PREFERRED THERAPY
Active
Organization
PREFERRED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA GORDON (PRESIDENT)
(912) 356-1002
Entity
Organization
Contact information
Practice address
5111 ABERCORN ST, SAVANNAH, GA 31405-5214
(912) 356-1002
(912) 356-1003
Mailing address
5111 ABERCORN ST, SAVANNAH, GA 31405-5214
(912) 356-1002
(912) 356-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004028
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4952
MEDICARE GROUP NUMBER
GA
Enumeration date
12/12/2007
Last updated
12/12/2007
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