Bradley Gordon
Physical Therapy Assistant in Pooler, GA(View on Map)
Full Name
Bradley Gordon
NPI Number
1043660277
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/19/2016
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
PTA002543
Contact
Information
Purpose
Mailing
Location
Address
230 HARMONY BLVD
230 HARMONY BLVD
City
Pooler
Pooler
State
GA
GA
Postal Code
31322-3625
31322-3625
Country
US
US
Telephone Number
(706) 315-0402
(706) 315-0402
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/19/2016