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Search › Indiana › 225200000X

Tracey Gordon

NPI 1801144464 · on the registry since 2012 · sole proprietor

Practice

Address
2827 Northgate Boulevard
Fort Wayne, IN 46835
Phone
(260) 492-1498
Fax
(260) 492-1614
Organisation at this address
Indiana Health And Rehabilitation Centers
Indiana Health And Rehabilitation Centers
The Health And Hospital Corporation Of Marion County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-29

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 Indiana