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Individual

JANEA GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5100 FILLMORE AVE, ALEXANDRIA, VA 22311-5069
(703) 291-0188
Mailing address
23140 BLACKTHORN SQ, STERLING, VA 20166-4354
(703) 980-1238

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/28/2020
Last updated
09/28/2020
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