Individual
JANE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
1131 S CLIFTON, SUITE C, WICHITA, KS 67218
(316) 689-4800
(316) 689-6234
Mailing address
1131 S CLIFTON, WICHITA, KS 67218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400565
KS
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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