Miranda J Gordon in Medical Lake - Occupational Therapist
Miranda J Gordon - NPI 1275793671
Miranda J Gordon is a Occupational Therapist in Medical Lake, Washington. Miranda J Gordon practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Miranda J Gordon is 1275793671. The last update date is 2008-06-10.
Miranda J Gordon's current location address is 800 West Maple Street, Medical Lake, Washington. You can contact this provider via phone number 5092993121 and fax number 5092997015. The mailing address for Miranda J Gordon is 800 West Maple Street, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miranda J Gordon |
|---|---|
| Address | 800 West Maple Street, Medical Lake, Washington |
| Phone Number | 5092993121 |
| Fax Number | 5092997015 |
| Sole Proprietor | N |
| Credentials | OTR L |
NPI Number Detail
| NPI Number | 1275793671 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 800 West Maple Street |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 990220800 |
| Phone Number | 5092993121 |
| Fax Number | 5092997015 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00003212 |
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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 unique 10-digit identification code issued to Miranda J Gordon by the Centers for Medicare & Medicaid Services?
The Miranda J Gordon has been assigned the NPI (National Provider Identifier) 1275793671 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Miranda J Gordon located?
The Miranda J Gordon is located at 800 West Maple Street, Medical Lake, WA 990220800.
What is Miranda J Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Miranda J Gordon is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Miranda J Gordon receive the assignment of its 1275793671 from the Centers for Medicare & Medicaid Services?
The Miranda J Gordon was issued its 1275793671 by the Centers for Medicare & Medicaid Services on 2008-06-10.
When was the Miranda J Gordon's information last updated?
The Miranda J Gordon's information was last updated on 2008-06-10.
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