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Individual

PAMELA GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1075
Mailing address
2115 34TH AVE APT 5C BLDG 14, LONG ISLAND CITY, NY 11106-4304
(718) 932-3373

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003342
NY

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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