Individual provider · Type 1 NPI

K'ockac Gordon

Rehabilitation Practitioner · Pasadena, CA

NPI number 1881993525 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Counselor 101Y00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1881993525

K'ockac Gordon's National Provider Identifier is 1881993525, issued on Mar 21, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 6, 2020.