IndividualActive
Amanda Gordon, OTRL,CLT-UE,CKTP
NPI 1528569704 · Occupational Therapist · Shelby Township, MI
Provider details
- NPI number
- 1528569704
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL,CLT-UE,CKTP
- Sex
- Female
- Sole proprietor
- No
- License
- 5201006820 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
45816 Schoenherr Rd Ste B
Shelby Township, MI 48315-6028
Phone: (586) 900-2100
Fax: (586) 900-2101
Approximate (ZIP-level) locationGet directions
Mailing address
33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Additional practice locations (1)
- 33875 Kiely DrChesterfield, MI 48047-3604Phone: (586) 725-6030
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.