Individual
ELYSE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8114 SPRING MARSH DR, BRADENTON, FL 34201-2083
(941) 209-0189
Mailing address
8114 SPRING MARSH DR, BRADENTON, FL 34201-2083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8210
FL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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