MRS. Rebbecca Ann Gwaltney, COTA/L

NPI #1235499120 in Jacksonville, Illinois

Provider Information

NPI Number: 1235499120
Entity Type: Individual
Name: MRS. Rebbecca Ann Gwaltney, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: COTA/L
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 2352 STATE HIGHWAY 78 N
City: Jacksonville
State: Illinois
ZIP Code: 62650-6227
Phone: (217) 473-5913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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