Individual
MR. JONATHAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6744 CLAYTON RD, SUITE 220, SAINT LOUIS, MO 63117-1637
(314) 644-1978
(314) 647-1350
Mailing address
6744 CLAYTON RD, SUITE 220, SAINT LOUIS, MO 63117-1637
(314) 644-1978
(314) 647-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105413
MO
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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