Individual
ANNE CAROL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1460 N PINAL AVE, CASA GRANDE, AZ 85222-3337
(520) 876-3614
Mailing address
16616 S 37TH WAY, PHOENIX, AZ 85048-7967
(480) 759-1999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590936
AHCCCS
AZ
Enumeration date
02/07/2007
Last updated
07/08/2007
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