Doctor Name: | MISS DARYN LYNN GORDON |
NPI Number: | 1104273770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 1274256 |
Business Practice Address: | 910 E Whitestone Blvd Cedar Park, TX - 786139093 |
Business Phone Number: | 5122606100 |
Business Fax Number: | |
Mailing Address: | 214 Barton Springs Rd, Unit 1212 AUSTIN |
State: | TX |
Postal Code: | 787041281 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/24/2016 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1274256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |