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Contact Information

LARA J GORDON, COTA/L
175 BLUEBERRY LN
LACONIA REHABILITATION CENTER
LACONIA, NH03246
 Phone: 603-524-3340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LARA J GORDON · (Female)

NPI # 1720417686
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 11/01/2013
Last updated 11/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ID License # OTA-1267
  • NH License # 0664
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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