Active NPIIndividual provider

Lara J Gordon, COTA/L

Occupational Therapy Assistant in Laconia, New Hampshire

NPI Number1720417686
Practice location
175 Blueberry Ln, Laconia Rehabilitation Center, Laconia, NH 03246
Fax
—
Last updated
November 1, 2013

Lara Jo Gordon is an Occupational Therapy Assistant based in Laconia, NH. Lara Jo Gordon practices in Laconia, NH and has the professional credentials of COTA/L. The NPI Number for Lara Jo Gordon is 1720417686 and holds a License No. 0664 (NH). The current practice location address for Lara Jo Gordon is 175 Blueberry Ln, Laconia Rehabilitation Center, Laconia, NH 03246 and can be reached out via phone at 603-524-3340.

Provider Profile Details

NPI Number
1720417686
Provider Name
Lara Jo Gordon
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
175 Blueberry Ln, Laconia Rehabilitation Center, Laconia, NH 03246
Phone Number
603-524-3340
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2013
Last Update Date
November 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Blueberry Ln
Laconia Rehabilitation Center
Laconia, NH 03246
Zip
03246
Phone Number
603-524-3340
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
14 Summer St Apt A
Laconia, NH 03246-3139
City
Laconia
State
NH
Zip
03246-3139
Phone Number
207-942-3977

License Information

License Number (1)
0664
License State (1)
NH
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X · Primary
License Number (2)
OTA-1267
License State (2)
ID
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lara J Gordon, COTA/L?

The NPI number of Lara J Gordon, COTA/L is 1720417686. It was assigned on November 1, 2013 and is currently active in the NPPES registry.

What is the specialty of Lara J Gordon, COTA/L?

Lara J Gordon, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NH under license number 0664.

Where does Lara J Gordon, COTA/L practice?

The practice location is 175 Blueberry Ln, Laconia Rehabilitation Center, Laconia, NH 03246. The office can be reached at 603-524-3340 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720417686 directly on the NPPES registry website.

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