Miranda J Gordon, OTR L

NPI #1275793671 in Medical Lake, Washington

Provider Information

NPI Number: 1275793671
Entity Type: Individual
Name: Miranda J Gordon, OTR L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR L
Enumeration Date: Jun 10, 2008
Last Updated: Jun 10, 2008

Practice Location

Address: 800 WEST MAPLE STREET
City: Medical Lake
State: Washington
ZIP Code: 99022-0800
Phone: (509) 299-3121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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