Individual
LAURALEE FITZGERALD GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3931
(410) 544-2500
Mailing address
700 AMERICANA DR APT 38, ANNAPOLIS, MD 21403-3178
(410) 200-3518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09179
MD
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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