Individual
MATTHEW GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12731 MARBLESTONE DR STE 202, WOODBRIDGE, VA 22192-8334
(571) 659-2612
Mailing address
12544 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5259
(703) 730-6969
(703) 730-1169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211209
VA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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