Individual
ERIC ANTHONY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7068 S OUTER 364, O FALLON, MO 63368-7757
(636) 240-6100
Mailing address
18 OAKWOOD DR, SAINT CHARLES, MO 63301-1325
(636) 577-1047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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