Individual
MS. LISA VAN GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CEIS
Contact information
Practice address
2 COOLIDGE ST, HUDSON, MA 01749-1459
(978) 568-8800
(978) 568-8877
Mailing address
255 HIGHLAND AVE, NEEDHAM, MA 02494-3023
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8197
MA
Other
Enumeration date
01/03/2008
Last updated
10/08/2019
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