| Doctor Name: | MRS. JENNIFER GORDON |
| NPI Number: | 1487615027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 21047 |
| Business Practice Address: | 14999 Health Center Dr Ste 201 Bowie, MD - 207161087 |
| Business Phone Number: | 2402454245 |
| Business Fax Number: | 2402454916 |
| Mailing Address: | 7500 Hanover Pkwy Ste 103, GREENBELT |
| State: | MD |
| Postal Code: | 207702011 |
| Phone Number: | 3014461644 |
| Fax Number: | 3014461647 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 21047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |