Individual
RYAN MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
32 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 353-2626
Mailing address
2815 PARC CHERI CT, SAINT LOUIS, MO 63129-4510
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2024021624
MO
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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