Individual
ALYSSA GARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1313 PRATT ST, BARRY, IL 62312-1365
(217) 335-2326
Mailing address
119 REBECCA DR, JACKSONVILLE, IL 62650-6751
(217) 473-6094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013331
IL
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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