Alexander Gordon, OTR/L

NPI #1720322829 in Kelso, Washington

Provider Information

NPI Number: 1720322829
Entity Type: Individual
Name: Alexander Gordon, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 404 LONG AVE
City: Kelso
State: Washington
ZIP Code: 98626-1116
Phone: (360) 501-1581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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