Individual
SUSAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MAIN ST, WEST NEWBURY, MA 01985-1420
(978) 363-5553
Mailing address
320 MAIN ST, P. O. BOX 956, WEST NEWBURY, MA 01985-1420
(978) 363-5553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5755
MA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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