Individual
KELLY SUZANNE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5545
Mailing address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002769
MI
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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