Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PHYLLIS LYNN GORDON, M.S.O.T.R.
Active Sole ProprietorMS. PHYLLIS LYNN GORDON, M.S.O.T.R. is a Physical Rehabilitation Occupational Therapist healthcare provider located in TENAFLY, New Jersey. NPI 1285876128 is currently active in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · TENAFLY, NJ
Registration Details
- NPI Number
- 1285876128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2009 (17.20580721134 yrs)
- Last Updated
- Aug 19, 2010
- Licenses
-
TR00810 (NJ)TR00810 (NJ)TR00810 (NJ)TR00810 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 BYRNE LNTENAFLY, NJ, 076702707Browse NJ providers · Browse ZIP 07670
- Phone
- 2015696288
- Fax
- 2012279267
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
- Additional Specialty
- Neurorehabilitation Occupational Therapist
- Additional Specialty
- Physical Rehabilitation Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Other Physical Rehabilitation Occupational Therapist Providers in TENAFLY, NJ
| Name | Credential | NPI |
|---|---|---|
| MARCIA BAUM | OTRL | 1578298345 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.