Most Relevant Information
Provider Data
| NPI Number: | 1003560061 |
| Provider Name: | JENNIFER GORTON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4329 |
Most Important Dates
| Enumeration Date: | 02/08/2022 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
975 KIRMAN AVE
RENO
NV
895020997
Practice Location Phone/Fax
| Phone: | 7752912059 |
| Fax: |
Provider Mailing Location
290A KITTS WAY
RENO
NV
895219724
Provider Mailing Phone/Fax
| Phone: | 7752912059 |
| Fax: |