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Individual

JEANNINE GILLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1212 TROON DR, GREENSBURG, PA 15601-8954
(888) 265-2680
Mailing address
1212 TROON DR, GREENSBURG, PA 15601-8954

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104215954201
UT
225X00000X
Occupational Therapist
15554
CA
225X00000X
Occupational Therapist
OT60584307
WA

Other

Enumeration date
06/14/2016
Last updated
03/08/2019
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