Individual
CHARLES GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
29 CENTER ST STE 1, GOFFSTOWN, NH 03045-2948
(603) 497-4871
Mailing address
32 WILDWOOD RD, AUBURN, NH 03032-3750
(603) 623-3109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2555
NH
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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