Individual provider · Type 1 NPI

Miriam Leiba Gordon, OT

Occupational Therapist · West Orange, NJ

NPI number 1538736152 Active

Practice location

1199 Pleasant Valley Way
West Orange, NJ 07052-1424

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR00984100 (NJ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1538736152

Miriam Leiba Gordon, OT's National Provider Identifier is 1538736152, issued on Jun 10, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Orange, NJ. The record was last updated on Jun 10, 2021.