NPI 1134942600

Dalton James Gore, COTAL

Practitioner Occupational Therapy Assistant Johnson City, TN

Practice location

Address: 2214 E Fairview Ave, Johnson City, TN 37601-2860
Phone: (423) 928-6464

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Tennessee →

Registry record

NPI: 1134942600
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2024
Record last updated: 4 Nov 2024

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.