Individual
GRETCHEN GARRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
1320 WOODHOLLOW CT, 3N, SCHERERVILLE, IN 46375-1050
(219) 322-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057003318
IL
Other
Enumeration date
11/28/2010
Last updated
11/28/2010
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