Individual
JOAN M. GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
411 CHICAGO AVE, OAK PARK, IL 60302-2233
(708) 524-1050
Mailing address
809 N TAYLOR AVE, OAK PARK, IL 60302-1455
(708) 524-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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