Individual
KATHRYN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1040726
OR
225X00000X
Occupational Therapist
Primary
OT00003225
WA
Other
Enumeration date
09/19/2012
Last updated
01/21/2026
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