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Individual

GRETCHEN YEOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1517 W LOGAN ST, FREEPORT, IL 61032-4635
(815) 238-6488
Mailing address
1517 W LOGAN ST, FREEPORT, IL 61032-4635

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006478
IL

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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