Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELLEN GORDON
Active Sole ProprietorMARY ELLEN GORDON is a Physical Therapist healthcare provider located in SMITHFIELD, North Carolina. NPI 1942405873 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · SMITHFIELD, NC
Registration Details
- NPI Number
- 1942405873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2007 (19.1654505634 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
514 N BRIGHTLEAF BLVD STE 1202SMITHFIELD, NC, 275774486Browse NC providers · Browse ZIP 27577
- Phone
- 9199344997
- Fax
- 9199349280
- Primary Specialty
-
Physical Therapist
225000000X
Other Physical Therapist Providers in SMITHFIELD, NC
| Name | Credential | NPI |
|---|---|---|
| RAYMOND DERWIN JONES | CFTS | 1760771828 |
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.