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Individual

DAWN MARIE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003825
CT

Other

Enumeration date
02/03/2012
Last updated
10/02/2013
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