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Contact Information

JANNA L GORDON, PTA
252 WEST 5TH STREET
LA CENTER, KY42056
 Phone: 270-665-5875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JANNA L GORDON · (Female)

NPI Number 1457567695
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 05/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # A01141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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