MRS. Nicole Marie Gordon, OTR

NPI #1164636064 in Oakdale, Minnesota

Provider Information

NPI Number
1164636064
Entity Type
Individual
Name
MRS. Nicole Marie Gordon, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
May 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2611 GUTHRIE AVE N
ZIP Code
55128-3924
Phone
(651) 704-0854

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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