Whalio Doctors

NPI 1003352055

Adam Gordon

Practitioner Pediatric Occupational Therapist Aptos, CA

Practice location

Address
1940 Bonita Dr, Aptos, CA 95003-5524
Phone
(831) 684-1804
Mailing address
84 Robak Dr, Watsonville, CA 95076-1642

Registered specialties

Pediatric Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT16180 (CA)

Registry record

NPI
1003352055
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jan 2017
Record last updated
15 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.