National Provider Identifier
Tammy Van Gorder
Tammy Van Gorder is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-0350.
Profile Overview
- NPI
- 1609539436
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 19, 2021
- Last Updated
- October 19, 2021
Practice Location
- 4646 Fairport Nine Mile PT RD
- Fairport, NY 14450-1163
Phone: (585) 377-0350
Mailing Address
- 5 Vanderberg Dr
- Fairport, NY 14450-8427
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1609539436
- Entity Type
- Individual
- Last Name
- Van Gorder
- First Name
- Tammy
- Mailing Street Address
- 5 Vanderberg Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8427
- Mailing Country
- US
- Mailing Phone
- (315) 783-7896
- Practice Street Address
- 4646 Fairport Nine Mile PT RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1163
- Practice Country
- US
- Practice Phone
- (585) 377-0350
- Enumeration Date
- October 19, 2021
- Last Updated
- October 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)