Individual
MR. DHARMESH ISHWAR GORDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2051 STATHAM BLVD, OXNARD, CA 93033-3901
(805) 293-6213
Mailing address
2051 STATHAM BLVD, OXNARD, CA 93033-3901
(805) 293-6213
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 32843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 32843
PT BOARD LICENSE
CA
Enumeration date
07/25/2006
Last updated
01/24/2023
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