Grant D Gordon
Grant D Gordon is a Physical Therapy Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
15373 Innovation Dr Ste 220San Diego, CA 92128-3425
Phone: (858) 592-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 50071 (CA) |
|---|
Record details
| NPI number | 1720753924 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 10, 2021 |
| Last updated in NPPES | August 10, 2021 |
| Certification date | August 10, 2021 |
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