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Individual

ABIGAIL LYNN GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
304 MAIN ST, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
1864 MAIN ST, GLASTONBURY, CT 06033-2944
(860) 992-3387

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14911
NC
225X00000X
Occupational Therapist
Primary
5931
CT

Other

Enumeration date
08/04/2022
Last updated
08/04/2022
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