Individual
KATRINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6537
(928) 367-5778
Mailing address
37809 N 17TH DR, PHOENIX, AZ 85086-8770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10817
AZ
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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