Gordon, Susan R

Gordon, Susan R is an individual health care provider with primary practice located at 600 N Robbins Rd Ste 101 , Boise ID 83702-4567. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gordon, Susan R can be contacted via phone (208) 489-4040.

Contact Information

Primary practice address
600 N Robbins Rd Ste 101 Boise ID 83702-4567
Phone: (208) 489-4040
Fax: (208) 489-4064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 812 Idaho

Profile Details

NPI number 1598199069
LBN Legal business name Gordon, Susan R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2013
Last updated Sep 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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