Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE GORDON, PT
ActiveNICOLE GORDON, PT is a Physical Therapy Assistant healthcare provider located in WASHINGTON TWP, Michigan. NPI 1386928307 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WASHINGTON TWP, MI
Registration Details
- NPI Number
- 1386928307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2011 (14.65851064191 yrs)
- Last Updated
- Oct 19, 2020
- License
-
5501009680 (MI)
Practice Information
- Address
-
64541 VAN DYKE RDWASHINGTON TWP, MI, 480952570Browse MI providers · Browse ZIP 48095
- Phone
- 5869351100
- Fax
- 5869351101
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WASHINGTON TWP, MI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER BARA | DPT | 1497164586 |
| CHANTEL FONTAINE | DPT | 1770081903 |
| RAMI MAASRI | PT, DPT | 1184338626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.