Nicole Marie Gordon in Oakdale - Occupational Therapist
Nicole Marie Gordon - NPI 1164636064
Nicole Marie Gordon is a Occupational Therapist in Oakdale, Minnesota. Nicole Marie Gordon practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Nicole Marie Gordon is 1164636064. The last update date is 2007-07-08.
Nicole Marie Gordon's current location address is 2611 Guthrie Ave N, Oakdale, Minnesota. You can contact this provider via phone number 6517040854. The mailing address for Nicole Marie Gordon is 2611 Guthrie Ave N, Oakdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Marie Gordon |
|---|---|
| Address | 2611 Guthrie Ave N, Oakdale, Minnesota |
| Phone Number | 6517040854 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1164636064 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2611 Guthrie Ave N |
|---|---|
| City | Oakdale |
| State | Minnesota (MN) |
| Post Code | 551283924 |
| Phone Number | 6517040854 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 102111 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the Nicole Marie Gordon's unique identification number?
The Nicole Marie Gordon has been assigned the NPI (National Provider Identifier) Number 1164636064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Nicole Marie Gordon located?
The Nicole Marie Gordon is located at 2611 Guthrie Ave N, Oakdale, MN 551283924.
What is Nicole Marie Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicole Marie Gordon is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
When was the Nicole Marie Gordon's 1164636064 issued?
The Nicole Marie Gordon's 1164636064 was issued on 2007-05-09.
As of what date was the information regarding Nicole Marie Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicole Marie Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.