Christina Witt Gordon, OTR/L | |
18 Professional Village Cir, Beaufort, SC 29907-1570 | |
(843) 986-9670 | |
(843) 986-9369 |
Full Name | Christina Witt Gordon |
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Gender | Female |
Speciality | Occupational Therapist - Physical Rehabilitation |
Location | 18 Professional Village Cir, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255914677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 2703 (South Carolina) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094 |
Mailing Address | Practice Location Address |
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Christina Witt Gordon, OTR/L 2700 University Blvd Apt 324, Tuscaloosa, AL 35401-1446 Ph: (251) 331-0958 | Christina Witt Gordon, OTR/L 18 Professional Village Cir, Beaufort, SC 29907-1570 Ph: (843) 986-9670 |
Spencer Reyes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Parris Island Gtwy Unit 198, Beaufort, SC 29906 Phone: 843-575-4722 | |
Mr. Jesse Ausec, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Prescott Dr, Beaufort, SC 29902 Phone: 770-307-8723 | |
Emily M E Kimmins, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Washington St, Beaufort, SC 29902 Phone: 843-812-1958 | |
Grace Reyes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Parris Island Gtwy Unit 198, Beaufort, SC 29906 Phone: 843-575-4722 | |
Mrs. Julia B Hetherington, MHS OTR CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Professional Village Circle, Beaufort, SC 29907 Phone: 843-521-9673 Fax: 843-986-9369 | |
Laurie Boggus Martin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 296 Broad River Dr, Beaufort, SC 29906 Phone: 843-252-1534 |