Individual
ALEXANDER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
404 LONG AVE, KELSO, WA 98626-1116
(360) 501-1581
Mailing address
404 LONG AVE, KELSO, WA 98626-1116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60174910
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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