Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA J GORDON, OTR L
ActiveMIRANDA J GORDON, OTR L is a Occupational Therapist healthcare provider located in MEDICAL LAKE, Washington. NPI 1275793671 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1275793671
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2008 (17.994869907075 yrs)
- Last Updated
- Jun 10, 2008
- License
-
OT00003212 (WA)
Practice Information
- Address
-
800 WEST MAPLE STREETMEDICAL LAKE, WA, 990220800Browse WA providers · Browse ZIP 99022
- Phone
- 5092993121
- Fax
- 5092997015
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MEDICAL LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| CAREY BLACKMON | — | 1528144524 |
| TERRY GLENN | — | 1235215237 |
| MARY KAY MILLER | — | 1962588962 |
| CONNIE NELSON | — | 1134205131 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.