NPI 1699475772

Christine Larae Gordon, PTA

Practitioner Physical Therapy Assistant Casper, WY

Practice location

Address: 60 Magnolia St, Casper, WY 82604-4035
Phone: (307) 234-9381
Mailing address: 12105 Zero Rd, Casper, WY 82604-9541

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-0537 (WY)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1699475772
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2023
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.