Gordon, Jennifer

Gordon, Jennifer is an individual health care provider with primary practice located at 311 N Dawson St , Thomasville GA 31792-5132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gordon, Jennifer can be contacted via phone (229) 226-4114.

Contact Information

Primary practice address
311 N Dawson St Thomasville GA 31792-5132
Phone: (229) 226-4114
Fax: (229) 226-6480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA001408 Georgia

Profile Details

NPI number 1992117618
LBN Legal business name Gordon, Jennifer
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2014
Last updated May 29th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992117618 NPPES
Georgia Other PTA001408 GA LICENSE NUMBER

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