Individual
GLENN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
341 E MORELAND RD, WILLOW GROVE, PA 19090-3507
(215) 630-8411
Mailing address
341 E MORELAND RD, WILLOW GROVE, PA 19090-3507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006790L
PA
Other
Enumeration date
12/21/2019
Last updated
01/07/2020
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