Individual
KARA RENEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7288
Mailing address
620 SWEET STREAM TRCE, DULUTH, GA 30097-7154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004507
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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