Individual
PETRA GORDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-5100
Mailing address
79 LINDEN AVE, CLIFTON, NJ 07014-1346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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