Individual
LAUREN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36315 PINEY RIDGE BLVD, FRUITLAND PARK, FL 34731-5381
(251) 222-8534
Mailing address
36315 PINEY RIDGE BLVD, FRUITLAND PARK, FL 34731-5381
(251) 222-8534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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