Individual
JAYLEN T'KEYAH GORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 TROTTER TRL, PRATTVILLE, AL 36066-7262
(251) 327-0685
Mailing address
913 TROTTER TRL, PRATTVILLE, AL 36066-7262
(251) 327-0685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP050844T
NC
225100000X
Physical Therapist
Primary
PTH12534
AL
Other
Enumeration date
11/04/2025
Last updated
11/13/2025
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