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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA GORDON

Active Sole Proprietor

BRENDA GORDON is a Physical Therapist Assistant healthcare provider located in TUCKER, Georgia. NPI 1396132320 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · TUCKER, GA

Registration Details

NPI Number
1396132320
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2015 (11.348772452797 yrs)
Last Updated
Apr 16, 2015
License
059684695 (GA)
Sole Proprietor
Yes

Practice Information

Address
3983 LAVISTA RD
SUITE 164
TUCKER, GA, 300845153
Browse GA providers · Browse ZIP 30084
Phone
4048610807
Primary Specialty
Physical Therapist Assistant
1744P3200X

Other Physical Therapist Assistant Providers in TUCKER, GA

Name Credential NPI
SYLVIA EVANS 1629486725
ATHENA JACOWAY 1376905117
MALIKA DURHAM 1548796279
KENISHA LASHUN GARRETT 1467064931
MRS. SHIKINA LATRICE DE VEAUX SPECIALIST 1487226403
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.