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Individual
W GORDON EILAND
Active
Individual
W GORDON EILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT SCS ATC
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1057388
TX
2255A2300X
Athletic Trainer
AT1193
TX
Other
Enumeration date
06/06/2006
Last updated
07/01/2011
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