Individual
LESLIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-0444
Mailing address
4175 ELDORADO SPRINGS DR, BOULDER, CO 80303-9608
(303) 499-1281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3306
CO
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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