IndividualActive
Adam Gordon, OTR/L
NPI 1073347100 · Occupational Therapist · Teaneck, NJ
Provider details
- NPI number
- 1073347100
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 46TR01163100 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1415 Queen Anne Rd Ste 100
Teaneck, NJ 07666-3521
Phone: (201) 837-9993
Approximate (ZIP-level) locationGet directions
Mailing address
1415 Queen Anne Rd Ste 100
Teaneck, NJ 07666-3521
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.