Provider Demographics
NPI:1548455066
Name:GORDON, TERRY BRITTNEY (PT, MS)
Entity type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:BRITTNEY
Last Name:GORDON
Suffix:
Gender:F
Credentials:PT, MS
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Mailing Address - Street 1:7814 LITTLE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7775
Mailing Address - Country:US
Mailing Address - Phone:404-454-4654
Mailing Address - Fax:804-486-5124
Practice Address - Street 1:7814 LITTLE RIDGE CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7775
Practice Address - Country:US
Practice Address - Phone:804-464-8527
Practice Address - Fax:804-486-5124
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2024-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305205887225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist