MR. Dalton James Gore, COTA/L
NPI #1134942600 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1134942600
- Entity Type
- Individual
- Name
- MR. Dalton James Gore, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Nov 4, 2024
- Last Updated
- Nov 4, 2024
Practice Location
- Address
- 2214 E FAIRVIEW AVE
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-2860
- Phone
- (423) 928-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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