Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL D GORDON, COTA/L
Active Sole ProprietorCRYSTAL D GORDON, COTA/L is a Occupational Therapy Assistant healthcare provider located in BEECHER CITY, Illinois. NPI 1982851895 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BEECHER CITY, IL
Registration Details
- NPI Number
- 1982851895
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2008 (17.996121401661 yrs)
- Last Updated
- Aug 21, 2008
- License
-
057002673 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
RR 2 BOX 211BBEECHER CITY, IL, 624149208Browse IL providers · Browse ZIP 62414
- Phone
- 2177832335
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BEECHER CITY, IL
| Name | Credential | NPI |
|---|---|---|
| DEB A GORDON | COTA/L | 1083861991 |
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.