Individual
JILL GORDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18-01 POLLITT DR, FAIR LAWN, NJ 07410-2813
(908) 500-0722
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR0089700
NJ
225X00000X
Occupational Therapist
OC017219
PA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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