AMANDA LEE GIBSON

NORMAL, IL
NPI1336204932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056006623)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IL  056006623)
Enumeration Date2006-12-26
Last Update Date2011-10-17
Business Address
Mrs. AMANDA LEE GIBSON OTRL
1606 HUNT DR
NORMAL, IL 61761-2192
Phone number: 309-451-0069
Mailing Address
Mrs. AMANDA LEE GIBSON OTRL
595 BASSWOOD LN
NORMAL, IL 61761-5749
Phone number: 630-272-0311