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Organization

CLIFTON MAX

Active
Other names
Performance Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC M GORDON PT (OWNER)
(410) 977-9416
Entity
Organization

Contact information

Practice address
5309 WEYWOOD DR, REISTERSTOWN, MD 21136-4528
(410) 977-9416
Mailing address
5309 WEYWOOD DR, REISTERSTOWN, MD 21136-4528
(410) 977-9416

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17059
MD

Other

Enumeration date
01/12/2016
Last updated
01/12/2016
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