Individual
LAURANNE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 TUCKERMAN LN, NORTH BETHESDA, MD 20852-4683
(301) 761-3283
Mailing address
5550 TUCKERMAN LN, NORTH BETHESDA, MD 20852-4683
(301) 761-3283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4126
MD
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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