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Contact Information

TAMMY L GORDON, COTA
175 COLONNADE CLB
HILTON HEAD ISLAND, SC29928-7804
 Phone: 850-960-1650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for TAMMY L GORDON · (Female)

NPI Number 1780846063
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 06/27/2008
Last updated 06/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OTA10395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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