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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY GORDON

Active

JEREMY GORDON is a Occupational Therapist healthcare provider located in MADISON HEIGHTS, Michigan. NPI 1780036525 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MADISON HEIGHTS, MI

Registration Details

NPI Number
1780036525
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2016 (10.113183694998 yrs)
Last Updated
Jul 5, 2016
Licenses
117701 (TX)
OT4646 (CO)

Practice Information

Address
30209 WESTWOOD DR
MADISON HEIGHTS, MI, 480715925
Browse MI providers · Browse ZIP 48071
Phone
2482502388
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MADISON HEIGHTS, MI

Name Credential NPI
MRS. KAREN JEFFERSON ELANDT OTR 1528264736
MRS. SAMANTHA BAUMANN OTRL 1710296728
MISS AMY EMILY ANSARA OTR/L 1063711091
DENISE FISHER 1154752962
COLLEEN DENVER 1639500341
ANGELA SUNDMAN 1861823650
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.