MRS. Amanda Lee Gibson, OTRL

NPI #1336204932 in Normal, Illinois

Provider Information

NPI Number
1336204932
Entity Type
Individual
Name
MRS. Amanda Lee Gibson, OTRL
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTRL
Enumeration Date
Dec 26, 2006
Last Updated
Oct 17, 2011

Practice Location

Address
1606 HUNT DR
City
Normal
ZIP Code
61761-2192
Phone
(309) 451-0069

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Occupational Therapist - PediatricsPediatrics

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