Individual provider · Type 1 NPI

Miranda J. Gordon, OTR L

Occupational Therapist · Medical Lake, WA

NPI number 1275793671 Active

Practice location

800 West Maple Street
Medical Lake, WA 99022-0800

Call (509) 299-3121 Map

Fax (509) 299-7015

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT00003212 (WA)

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 1275793671

Miranda J. Gordon, OTR L's National Provider Identifier is 1275793671, issued on Jun 10, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Medical Lake, WA. The record was last updated on Jun 10, 2008.