Individual
STEVEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 RAYMOND RD UNIT 8, COPPOLA PHYSICAL THERAPY AND FITNESS GYM, CANDIA, NH 03034-2133
(603) 483-3355
(603) 483-3357
Mailing address
1107 BODWELL RD, APT 23, MANCHESTER, NH 03109-5814
(603) 315-9552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3443
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0740
LICENSE#
NH
Enumeration date
11/02/2006
Last updated
06/04/2009
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