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Mary Ellen Gordon
Orthotic Fitter in Smithfield, North Carolina
NPI 1942405873

Mary Ellen Gordon is a Orthotic Fitter based in Smithfield, NC. Mary Ellen Gordon practices in Smithfield, NC. The NPI Number for Mary Ellen Gordon is 1942405873 and holds a License No. (North Carolina).

The current practice location address for Mary Ellen Gordon is 514 N Brightleaf Blvd Ste 1202, Smithfield, NC and can be reached out via phone at 919-934-4997 and via fax at 919-934-9280.

Location: 514 N Brightleaf Blvd Ste 1202, Smithfield, NC, 27577-4486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942405873
Provider Name
Mary Ellen Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
514 N Brightleaf Blvd Ste 1202, Smithfield, NC, 27577-4486
Phone Number
919-934-4997
Fax Number
919-934-9280
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
514 N Brightleaf Blvd Ste 1202
City
Smithfield
State
North Carolina
Zip
27577-4486
Phone Number
919-934-4997
Fax Number
919-934-9280
person
Provider Business Mailing Address Details
Address
514 N Brightleaf Blvd Ste 1202
City
Smithfield
State
North Carolina
Zip
27577-4486
Phone Number
919-934-4997
Fax Number
919-934-9280
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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