Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Raven S Gordon, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1811331796

MS. Raven S Gordon, COTA/L is an Occupational Therapy Assistant in Gary, Indiana. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2425 Arthur St #107
Gary, IN 46404-3563
Phone: (219) 902-1498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003528 (IL)

Record details

NPI number1811331796
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedApril 23, 2013
Last updated in NPPESApril 23, 2013

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