Provider Demographics
NPI:1881892370
Name:CORT, TERRENCE GORDON (PT)
Entity type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:GORDON
Last Name:CORT
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:8121 GEORGIA AVE
Mailing Address - Street 2:701-A
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4933
Mailing Address - Country:US
Mailing Address - Phone:301-587-4180
Mailing Address - Fax:301-587-9141
Practice Address - Street 1:8121 GEORGIA AVE
Practice Address - Street 2:701-A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4933
Practice Address - Country:US
Practice Address - Phone:301-587-4180
Practice Address - Fax:301-587-9141
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD174902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic