Individual
ALEXIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
652 BROADWAY, NEW YORK, NY 10012-2316
(646) 847-1635
Mailing address
102 MADISON AVE FL 8, NEW YORK, NY 10016-7584
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030269
NY
225X00000X
Occupational Therapist
OT012767
OH
Other
Enumeration date
01/06/2021
Last updated
07/03/2025
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