# MICHELE MARY GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750346920
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 1075776 | OR | — |
| 225X00000X | Occupational Therapist | 6729 | NC | — |
| 225XH1200X | Hand Occupational Therapist | 6222 | CO | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/09/2020