Seth Gordon, PT
Physical Therapist in Roswell, NM. Individual provider (NPI-1).
NPI number1235761024
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1235761024
- Entity type
- Individual (NPI-1)
- Name
- Seth Gordon
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT5628 | NM | Yes |
Practice location
72 Gail Harris StRoswell, NM 88203-8116
Phone 575-347-3400
Mailing address
18 Woodrow AveMalden, MA 02148-2618
Phone 573-881-2128
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All 45 Physical Therapist providers in Roswell · All 1,414 providers in Roswell
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