Individual provider · Type 1 NPI

Jerome Gordon Jr., OTR-L

Occupational Therapist · Jackson, MS

NPI number 1073668596 Active

Practice location

787 E Northside Dr
Jackson, MS 39206-4945

Mailing address

PO Box 587
Clinton, MS 39060-0587

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT1848 (MS)

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073668596

Jerome Gordon Jr., OTR-L's National Provider Identifier is 1073668596, issued on Jan 24, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 16, 2019.