Individual
MRS. NANCY AINSWORTH GORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-9986
(217) 876-2690
(217) 876-6825
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-9986
(217) 876-2690
(217) 876-6825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000669
IL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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