MRS. Mary Kathleen Gordon, OTR/L

NPI #1235446261 in Kewanee, Illinois

Provider Information

NPI Number: 1235446261
Entity Type: Individual
Name: MRS. Mary Kathleen Gordon, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 13, 2010
Last Updated: Sep 13, 2010

Practice Location

Address: 1051 W SOUTH ST
City: Kewanee
State: Illinois
ZIP Code: 61443-8354
Phone: (309) 852-7931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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