Individual
ASHLEY MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13800 BON SECOURS DR, MIDLOTHIAN, VA 23114
(804) 378-5100
Mailing address
4806 WYNN LN APT 301, MIDLOTHIAN, VA 23112-8294
(804) 248-8302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603667
VA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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