Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. RAVEN S GORDON, COTA/L
Active Sole ProprietorMS. RAVEN S GORDON, COTA/L is a Occupational Therapy Assistant healthcare provider located in GARY, Indiana. NPI 1811331796 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · GARY, IN
Registration Details
- NPI Number
- 1811331796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2013 (13.272855776508 yrs)
- Last Updated
- Apr 23, 2013
- License
-
057003528 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2425 ARTHUR ST#107GARY, IN, 464043563Browse IN providers · Browse ZIP 46404
- Phone
- 2199021498
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in GARY, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. LELA JANE RIORDAN | COTA | 1538385570 |
| MS. CASSANDRA L WHITEHEAD | COTA | 1285863993 |
| MRS. JEANINE PATRICIA DAVIS | COTA | 1164794897 |
| JUDY NORMA BEST | — | 1265914261 |
| SANADAH MARIE PATTERSON | — | 1902376718 |
| SCHORRE JOEL HEADD | COTA/L | 1902365505 |
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.