Individual provider · Type 1 NPI

Lara Jo Gordon, COTA/L

Occupational Therapy Assistant · Laconia, NH

NPI number 1720417686 Active

Practice location

175 Blueberry Ln, Laconia Rehabilitation Center
Laconia, NH 03246

Call (603) 524-3340 Map

Mailing address

14 Summer St Apt A
Laconia, NH 03246-3139

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0664 (NH)
Occupational Therapy Assistant 224Z00000XOTA-1267 (ID)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1720417686

Lara Jo Gordon, COTA/L's National Provider Identifier is 1720417686, issued on Nov 1, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Laconia, NH. The record was last updated on Nov 1, 2013.