Individual
MR. MICHAEL ADAM GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T., ATC, CSCS
Contact information
Practice address
3802 ISABELLA AVE, CINCINNATI, OH 45209-2112
(513) 200-2859
Mailing address
3802 ISABELLA AVE, CINCINNATI, OH 45209-2112
(513) 200-2859
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002357
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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