Individual
CHRISTINE S GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT, NCTMB
Contact information
Practice address
8824 SEMINOLE BLVD, SEMINOLE, FL 33772-3848
(727) 631-4455
Mailing address
8824 SEMINOLE BLVD, SEMINOLE, FL 33772-3848
(727) 631-4455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53308
FL
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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