GORDON NORTH, BOC-P, LOA

Prosthetist

Active Individual
NPI: 1770716375

Practice Address

1401 W MAGNOLIA AVE
Fort Worth, TX 76104

Phone: (817) 923-2101

Specialties

Specialty Code Primary License
Prosthetist 224P00000X Yes 510 (TX)
Orthotic Fitter 225000000X No 1144 (TX)

Frequently Asked Questions

NPI 1770716375 is the National Provider Identifier for GORDON NORTH, BOC-P, LOA, a Prosthetist provider located in Fort Worth, TX. This NPI was enumerated on August 28, 2009.
GORDON NORTH, BOC-P, LOA practices at 1401 W MAGNOLIA AVE, Fort Worth, TX 76104.

Quick Facts

NPI
1770716375
Type
Individual
Enumerated
Aug 28, 2009
Last Updated
Aug 28, 2009

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