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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