Organization
THE GORDON INSTITUTE FOR HUMAN PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MILES GORDON PT (OWNER)
(410) 977-9416
Entity
Organization
Contact information
Practice address
3655A OLD COURT RD, STE 16, PIKESVILLE, MD 21208-3959
(410) 977-9416
Mailing address
3655A OLD COURT RD, STE 16, PIKESVILLE, MD 21208-3959
(410) 977-9416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17059
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457358772
NPI
MD
Enumeration date
01/21/2009
Last updated
08/04/2009
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