Individual
MRS. SARAH LORETTA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021
(602) 324-6500
Mailing address
1529 NYE RD, LYONS, NY 14489-9111
(315) 946-5673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1170
NM
Other
Enumeration date
02/06/2018
Last updated
11/20/2019
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