Individual
BENJAMIN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 ROUTE 134 STE 9, SOUTH DENNIS, MA 02660-3430
(774) 352-7090
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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