Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 074939 | OH |
NPI | 1437376837 |
---|---|
Provider Name | Marla Joy Gordon |
First Address | Cuyahoga Falls, OH 44221-3492 |
Second Address | Akron, OH 44302-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 14/02/2018 |