Individual
ROBERT ALLEN GORDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
26001 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2309
(313) 903-1432
Mailing address
26001 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
52001008028
MI
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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