Individual
GORDON THOMAS
Active
Individual
GORDON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P4645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4645
MEDICAL LICENSE
NC
Enumeration date
01/17/2022
Last updated
01/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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