Natisha Gordon
Rehabilitation Practitioner in Washington, DC. Individual provider (NPI-1).
NPI number1023747847
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1023747847
- Entity type
- Individual (NPI-1)
- Name
- Natisha Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
1100 H St NwWashington, DC 20005-5476
Phone 888-701-3131
Mailing address
850 Towbin AveLakewood, NJ 08701-5928
Phone 833-599-2560
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