GRANT D GORDON

SAN DIEGO, CA
NPI1720753924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50071)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
GRANT D GORDON
15373 INNOVATION DR STE 220
SAN DIEGO, CA 92128-3425
Phone number: 858-592-8855
Mailing Address
GRANT D GORDON
15373 INNOVATION DR STE 220
SAN DIEGO, CA 92128-3425
Phone number: