| Doctor Name: | MS. PHYLLIS LYNN GORDON |
| NPI Number: | 1285876128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.O.T.R. |
| License Number: | TR00810 |
| Business Practice Address: | 10 Byrne Ln Tenafly, NJ - 076702707 |
| Business Phone Number: | 2015696288 |
| Business Fax Number: | 2012279267 |
| Mailing Address: | 10 Byrne Ln, TENAFLY |
| State: | NJ |
| Postal Code: | 076702707 |
| Phone Number: | 2015696288 |
| Fax Number: | 2012279267 |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XM0800X |
| License Number: | TR00810 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization. |