Gordon, Tabatha Nicole

Gordon, Tabatha Nicole is an sole proprietor health care provider with primary practice located at 300 Danell Rd , Wayne PA 19087-4613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gordon, Tabatha Nicole can be contacted via phone (610) 717-7191.

Contact Information

Primary practice address
300 Danell Rd Wayne PA 19087-4613
Phone: (610) 717-7191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC013140 Pennsylvania

Profile Details

NPI number 1255730750
LBN Legal business name Gordon, Tabatha Nicole
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2014
Last updated Aug 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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