Individual
ASHLEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
114 SMOKETREE WAY, LOUISBURG, NC 27549-2117
(919) 496-6500
Mailing address
165 CHURCHILL RD, LOUISBURG, NC 27549-7205
(919) 612-6003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9646
NC
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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