Individual
MRS. MARA JOAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
221 NICHOLS ST, CARMEL, NY 10512-5022
(917) 514-9831
(845) 225-4034
Mailing address
221 NICHOLS ST, CARMEL, NY 10512-5022
(917) 514-9831
(845) 225-4034
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012715
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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