Individual
ALEXIS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSOT
Contact information
Practice address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Mailing address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6922
SC
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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