CHRISTINE LARAE GORDON

CASPER, WY
NPI1699475772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-0537)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
Mrs. CHRISTINE LARAE GORDON PTA
60 MAGNOLIA ST
CASPER, WY 82604-4035
Phone number: 307-234-9381
Mailing Address
Mrs. CHRISTINE LARAE GORDON PTA
12105 ZERO RD
CASPER, WY 82604-9541
Phone number: 307-277-2534