Gordon, Abby Ilyce
Gordon, Abby Ilyce is an individual health care provider with primary practice located at 17901 Bothell Everett Hwy Ste F-104 , Bothell WA 98012-6387. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Gordon, Abby Ilyce can be contacted via phone (425) 424-3924.Contact Information
Primary practice address
17901 Bothell Everett Hwy Ste F-104
Bothell WA 98012-6387
Phone: (425) 424-3924
Fax: (425) 424-3941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 17180 | Connecticut |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10234 | Connecticut |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 60495067 | Washington |
Profile Details
| NPI number | 1720488950 |
|---|---|
| LBN Legal business name | Gordon, Abby Ilyce |
| Credentials | D.P.T., EMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2014 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720488950 | NPPES |
| Washington | MEDICAID | 2064003 |
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