Individual
MRS. JANA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 752-1200
Mailing address
6233 SMITH BLVD, OKLAHOMA CITY, OK 73112-4119
(405) 664-6832
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1396
OK
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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