Individual
DR. DAINIELLE PETRINA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12161 TAFT ST, PEMBROKE PINES, FL 33026-1957
(954) 648-5565
(305) 489-0182
Mailing address
12161 TAFT ST, PEMBROKE PINES, FL 33026-1957
(954) 648-5565
(305) 489-0182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 25081
PT STATE LICENSE
FL
Enumeration date
10/30/2009
Last updated
01/30/2026
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