Gordon, Susan Leigh
Gordon, Susan Leigh is an sole proprietor health care provider with primary practice located at 530 Highland Ave , Feasterville Trevose PA 19053-6026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gordon, Susan Leigh can be contacted via phone (215) 355-0623.Contact Information
Primary practice address
530 Highland Ave
Feasterville Trevose PA 19053-6026
Phone: (215) 355-0623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT005518L | Pennsylvania |
Profile Details
| NPI number | 1093901225 |
|---|---|
| LBN Legal business name | Gordon, Susan Leigh |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 21st, 2007 - about 18 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 | 1093901225 | NPPES |
| Pennsylvania | Other | 0019326700002 | MA |
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