Individual
CHRISTINA WITT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18 PROFESSIONAL VILLAGE CIR, BEAUFORT, SC 29907-1570
(843) 986-9670
(843) 986-9369
Mailing address
2700 UNIVERSITY BLVD APT 324, TUSCALOOSA, AL 35401-1446
(251) 331-0958
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2703
SC
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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