Individual
BENJAMIN LAWRENCE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
33089 GROESBECK HWY, FRASER, MI 48026-1501
(586) 296-2800
Mailing address
46253 FREMONT LN, CANTON, MI 48187-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303983
MI
Other
Enumeration date
05/13/2025
Last updated
06/18/2025
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