NPI 1275381915
Suzannah Gordon
Practice location
- Address
- 110 E Spencer Lake Rd, Shelton, WA 98584-7307
- Phone
- (360) 426-8292
- Mailing address
- 3165 17th St, Boulder, CO 80304-2617
Registered specialties (2)
Occupational Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1275381915
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2024
- Record last updated
- 8 May 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.