Individual
SARAH N GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
402 91ST AVE NE, LAKE STEVENS, WA 98258-2530
(425) 353-0455
(425) 335-1894
Mailing address
402 91ST AVE NE, LAKE STEVENS, WA 98258-2530
(425) 353-0455
(425) 335-1894
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT61202000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT61202000
OT LICENSE
WA
Enumeration date
11/10/2021
Last updated
03/22/2023
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