Individual
GARRETT GAUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L, CLIPP
Contact information
Practice address
2000 JACOBSSEN DR, NORMAL, IL 61761-6277
(309) 451-8888
Mailing address
2000 JACOBSSEN DR, NORMAL, IL 61761-6277
(309) 451-8888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014900
IL
Other
Enumeration date
09/23/2021
Last updated
04/19/2024
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