Individual
CHELSEA VAN GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
(951) 684-6500
Mailing address
5586 ALLENDALE DR, RIVERSIDE, CA 92507-8479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21320
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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