Tabatha Nicole Gordon, MSOTR/L

NPI #1255730750 in Wayne, Pennsylvania

Provider Information

NPI Number: 1255730750
Entity Type: Individual
Name: Tabatha Nicole Gordon, MSOTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSOTR/L
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 300 DANELL RD
City: Wayne
State: Pennsylvania
ZIP Code: 19087-4613
Phone: (610) 717-7191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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