Individual
LIANA LYNN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
43171 GRAVE LAKE RD, DEER RIVER, MN 56636-4006
(763) 228-1225
Mailing address
43171 GRAVE LAKE RD, DEER RIVER, MN 56636-4006
(763) 228-1225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105828
MN
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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