KRISTOPHER GORDON

PHOENIX, AZ
NPI1952734170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  9022a)
Enumeration Date2013-08-12
Last Update Date2013-08-12
Business Address
-- KRISTOPHER GORDON
615 E PORTLAND STREET
PHOENIX, AZ 85004
Phone number: 602-320-9109
Mailing Address
-- KRISTOPHER GORDON
615 E PORTLAND STREET UNIT 104
PHOENIX, AZ 85004
Phone number: 602-320-9109
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