Individual provider · Type 1 NPI

Crystal D. Gordon, COTA/L

Occupational Therapy Assistant · Beecher City, IL

NPI number 1982851895 Active

Practice location

RR 2 Box 211B
Beecher City, IL 62414-9208

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002673 (IL)

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 1982851895

Crystal D. Gordon, COTA/L's National Provider Identifier is 1982851895, issued on Aug 21, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Beecher City, IL. The record was last updated on Aug 21, 2008.