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Jacqueline Gordon, PTA
NPI 1104241488 · on the registry since 2014
Practice
- Address
- 6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116 - Phone
- (405) 840-2903
- Fax
- (405) 840-3256
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma