Individual
MR. GORDON L. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6115 POWERS BLVD, SUITE 100, PARMA, OH 44129-5471
(440) 888-7855
(440) 888-7862
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 003595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2860720
—
OH
Enumeration date
08/15/2007
Last updated
04/03/2017
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