Provider Demographics
NPI:1033916507
Name:GORDON, ELIZABETH (PT, DPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-9792
Mailing Address - Country:US
Mailing Address - Phone:724-494-6220
Mailing Address - Fax:
Practice Address - Street 1:1569 SMITH TWP STATE RD
Practice Address - Street 2:
Practice Address - City:ATLASBURG
Practice Address - State:PA
Practice Address - Zip Code:15004-1209
Practice Address - Country:US
Practice Address - Phone:724-947-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist