Individual provider · Type 1 NPI

Jacqueline Gordon, PTA

Physical Therapy Assistant · Oklahoma City, OK

NPI number 1104241488 Active

Practice location

6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116-9126

Call (405) 840-2903 Map

Fax (405) 840-3256

Mailing address

1501 Redman Dr
Newcastle, OK 73065-5635

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1057 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104241488

Jacqueline Gordon, PTA's National Provider Identifier is 1104241488, issued on Feb 24, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 24, 2014.