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Search › Tennessee › 224Z00000X

Dalton Gore, COTA/L

NPI 1134942600 · on the registry since 2024

Practice

Address
2214 E Fairview Ave
Johnson City, TN 37601
Phone
(423) 928-6464
Organisation at this address
Fairview Therapy
Mini Miracles Pediatric Therapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Sex
Male
Record last updated
2024-11-04

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 Tennessee