Individual
JOLENE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7900
Mailing address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7900
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1109
SD
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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