Bradley Gordon

NPI #1043660277 in Pooler, Georgia

Provider Information

NPI Number
1043660277
Entity Type
Individual
Name
Bradley Gordon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Jun 19, 2016
Last Updated
Jun 19, 2016

Practice Location

Address
230 HARMONY BLVD
City
Pooler
State
Georgia
ZIP Code
31322-3625
Phone
(706) 315-0402

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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