NPI 1063823060

Chauncy Gordon

Practitioner Developmental Therapist Orlando, FL

Practice location

Address: 447 Bella Vida Blvd, Orlando, FL 32828-6717
Phone: (321) 961-3489

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1063823060
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2014
Record last updated: 13 May 2014

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.