Individual
GORDON DOUGLAS DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
14412 S VIA GUALDA, SAHUARITA, AZ 85629-8447
(480) 734-5232
Mailing address
14412 S VIA GUALDA, SAHUARITA, AZ 85629-8447
(480) 734-5232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007482
AZ
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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