Individual
RENE' LASHELLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 S MAIN ST STE 500, SEARCY, AR 72143-7805
(501) 268-2525
Mailing address
63 VILSONIA WAY, VILONIA, AR 72173-9818
(903) 293-4057
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3202
AR
Other
Enumeration date
01/15/2010
Last updated
10/20/2015
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