MS. RAVEN S GORDON COTA/L
NPI 1811331796
Occupational Therapy Assistant in Gary, IN
About Ms. Raven S Gordon Cota/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. RAVEN S GORDON COTA/L (NPI 1811331796) is an individual occupational therapy assistant in Gary, Indiana, licensed in Illinois (057003528) and active in the NPI registry since April 2013.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven Gordon's NPI number?
The NPI number for Raven Gordon is 1811331796. It was assigned to this individual provider in the NPPES registry on April 23, 2013.
Where is Raven Gordon located?
Raven Gordon practices at 2425 Arthur St #107, Gary, IN 46404. The listed phone number is (219) 902-1498.
What is Raven Gordon's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Raven Gordon was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.