Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Desiree Kopil Gannon, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1508006883

Mrs. Desiree Kopil Gannon, OTR/L is a Pediatric Occupational Therapist in Edison, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

131 Safran Ave
Edison, NJ 08837-3205
Phone: (732) 742-3749
Fax: (732) 709-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 008498-1 (NY)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 46TR00098800 (NJ)

Record details

NPI number1508006883
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 26, 2009
Last updated in NPPESMarch 28, 2012

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