LARA JO GORDON

LACONIA, NH
NPI1720417686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NH  0664)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-1267)
Enumeration Date2013-11-01
Last Update Date2013-11-01
Business Address
-- LARA JO GORDON COTA/L
175 BLUEBERRY LN LACONIA REHABILITATION CENTER
LACONIA, NH 03246
Phone number: 603-524-3340
Mailing Address
-- LARA JO GORDON COTA/L
14 SUMMER ST APT A
LACONIA, NH 03246-3139
Phone number: 207-942-3977