Individual
MRS. PATRICIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9 MULE RD, E2, TOMS RIVER, NJ 08755-5043
(732) 473-1666
(732) 473-1601
Mailing address
429 LAKE BARNEGAT DR N, FORKED RIVER, NJ 08731-1621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00422000
NJ
Other
Enumeration date
01/26/2011
Last updated
08/02/2011
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