Individual
MRS. AMBER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 E 29TH ST, BRYAN, TX 77802-2757
(999) 999-9999
Mailing address
3030 E 29TH ST, BRYAN, TX 77802-2757
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2057650
TX
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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