Individual
MS. GWEN ANN CORRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
610 LOWRY ST, PITTSFIELD, IL 62363-1768
(217) 285-5200
(217) 285-5212
Mailing address
610 LOWRY ST, PITTSFIELD, IL 62363-1768
(217) 285-5200
(217) 285-5212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001516
IL
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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