| NPI | 1376582973 |
|---|---|
| Other Name | GORDON EILAND |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: TX 1057388) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TX AT1193) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-07-01 |