Individual
CAROL ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC OT
Contact information
Practice address
1080 RAVOLI DR, PACIFIC PALISADES, CA 90272
(310) 230-1775
(310) 230-1874
Mailing address
1080 RAVOLI DR, PACIFIC PALISADES, CA 90272-3917
(310) 230-1775
(310) 230-1874
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
AA455014
CA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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