Individual
AMANDA JEAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL,CLT-UE,CKTP
Contact information
Practice address
45816 SCHOENHERR RD STE B, SHELBY TOWNSHIP, MI 48315-6028
(586) 900-2100
(586) 900-2101
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006820
MI
Other
Enumeration date
02/23/2018
Last updated
10/29/2025
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