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Individual

MRS. KRISTINA ANNE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
816 FAYETTEVILLE RD, VAN BUREN, AR 72956-3423
(479) 268-2949
Mailing address
1021 N DAISY ST, GREENWOOD, AR 72936-3225
(479) 650-6727

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2357
AR

Other

Enumeration date
08/27/2017
Last updated
08/27/2017
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