Search › Connecticut › 174N00000X
Daresa Gordon
NPI 1053260208 · on the registry since 2026 · sole proprietor
Practice
- Address
- 38 Cone St
Manchester, CT 06040 - Phone
- (860) 478-5343
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Also registered as
- 164W00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut