| Miranda J Gordon, OTR L | |
|
800 West Maple Street, Medical Lake, WA 99022-0800 | |
| (509) 299-3121 | |
| (509) 299-7015 |
| Full Name | Miranda J Gordon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 800 West Maple Street, Medical Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275793671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00003212 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda J Gordon, OTR L 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121 | Miranda J Gordon, OTR L 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121 |
Connie Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Terry Glenn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Carey Blackmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Mary Kay Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |