Individual
ANDREA GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 16TH AVE, ROCK ISLAND, IL 61201-3702
(309) 764-6744
Mailing address
2630 16TH AVE, ROCK ISLAND, IL 61201-3702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007351
IL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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