Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAKENZI GORDON, COTA
ActiveMAKENZI GORDON, COTA is a Occupational Therapy Assistant healthcare provider located in WIND LAKE, Wisconsin. NPI 1972938207 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WIND LAKE, WI
Registration Details
- NPI Number
- 1972938207
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2013 (12.917771157532 yrs)
- Last Updated
- Sep 8, 2016
- License
-
502427 (WI)
Practice Information
- Address
-
8828 ORIOLE LNWIND LAKE, WI, 531855515Browse WI providers · Browse ZIP 53185
- Phone
- 9206455886
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in WIND LAKE, WI
| Name | Credential | NPI |
|---|---|---|
| ERIK R BURTRAW | COTA | 1669874301 |
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.