Individual
CYNTHIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11901 TOEPPERWEIN RD, SUITE 1106, LIVE OAK, TX 78233-3161
(210) 651-1900
Mailing address
11901 TOEPPERWEIN RD, SUITE 1106, LIVE OAK, TX 78233-3161
(210) 651-1900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106889
TX
225X00000X
Occupational Therapist
1448
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069770 A
—
OK
05
—
200069770A
—
TX
Enumeration date
09/22/2006
Last updated
05/08/2015
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