Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA GRACE GORDON, COTA/L
ActiveJENNA GRACE GORDON, COTA/L is a Occupational Therapy Assistant healthcare provider located in YARMOUTH, Massachusetts. NPI 1700122702 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · YARMOUTH, MA
Registration Details
- NPI Number
- 1700122702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2012 (13.473911352947 yrs)
- Last Updated
- Mar 14, 2013
- License
-
3543 (MA)
Practice Information
- Address
-
579 BUCK ISLAND RDYARMOUTH, MA, 026732750Browse MA providers · Browse ZIP 02673
- Phone
- 5080000000
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.