Katherine Gordon, OTR/L | |
711 W Independence Blvd, Mount Airy, NC 27030-3576 | |
(855) 983-0488 | |
Not Available |
Full Name | Katherine Gordon |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 711 W Independence Blvd, Mount Airy, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720837644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 16789 (North Carolina) | Primary |
Provider Name | Kidology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
Mailing Address | Practice Location Address |
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Katherine Gordon, OTR/L 1244 N Flint St, Lincolnton, NC 28092-5239 Ph: () - | Katherine Gordon, OTR/L 711 W Independence Blvd, Mount Airy, NC 27030-3576 Ph: (855) 983-0488 |
Malee Lambert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 W Independence Blvd, Mount Airy, NC 27030 Phone: 855-983-0488 | |
Lakin East, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1287 Newsome St, Mount Airy, NC 27030 Phone: 336-786-2133 | |
Caitlin Suzanna Knox Cline, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Ridge Crest Ln, Mount Airy, NC 27030 Phone: 336-786-9100 | |
Angela Marie Conley Stroup, OT/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S South St, Mount Airy, NC 27030 Phone: 336-719-7129 Fax: 336-719-7396 | |
Mrs. Vicky Lynn Frye, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 Allred Mill Rd, Mount Airy, NC 27030 Phone: 336-789-5076 | |
Mrs. Nina Y Whitley, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 S South St, Suite 100, Mount Airy, NC 27030 Phone: 336-719-7129 Fax: 336-719-7396 | |
Jill Warren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1287 Newsome St, Mount Airy, NC 27030 Phone: 336-786-2133 |