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Contact Information

PHYLLIS L GORDON, M.S.O.T.R.
10 BYRNE LN
TENAFLY, NJ07670-2707
 Phone: 201-569-6288
 Fax: 201-227-9267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
 

Mental Health

225XM0800X 67 Occupational Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHYLLIS L GORDON · (Female)

NPI # 1285876128
Status Active
Credentials M.S.O.T.R.
Entity Individual
Enumeration date 03/24/2009
Last updated 08/19/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # TR00810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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