Individual
GREGORY GORDON SODEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 NE 8TH ST, HOMESTEAD, FL 33030-4738
(305) 248-8600
Mailing address
29858 SW 159TH DR, HOMESTEAD, FL 33033-3307
(305) 505-5333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20367
FL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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