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Individual

MR. JUSTIN E GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3150 ROGERS RD STE 216, WAKE FOREST, NC 27587-7068
(919) 229-8363
(919) 229-8356
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(502) 882-9379
(502) 587-5728

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17533
NC
225100000X
Physical Therapist
PT25049
FL

Other

Enumeration date
10/20/2009
Last updated
10/23/2023
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