MR. DALTON GORE, COTA/L

Occupational Therapy Assistant

Active Individual
NPI: 1134942600

Practice Address

2214 E FAIRVIEW AVE
Johnson City, TN 37601

Phone: (423) 928-6464

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes -

Frequently Asked Questions

NPI 1134942600 is the National Provider Identifier for MR. DALTON GORE, COTA/L, a Occupational Therapy Assistant provider located in Johnson City, TN. This NPI was enumerated on November 4, 2024.
MR. DALTON GORE, COTA/L practices at 2214 E FAIRVIEW AVE, Johnson City, TN 37601.

Quick Facts

NPI
1134942600
Type
Individual
Enumerated
Nov 4, 2024
Last Updated
Nov 4, 2024

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